1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Optometrist
  6. NPI Profile

AVA WALLEN
NPI 1851033609
Optometrist in Santa Rosa, CA

Active since April 12, 2022PECOS Enrolled
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 566-6060 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2024, Apr 12, 2022 (2 updates tracked since 2022).

About Ava Wallen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVA WALLEN (NPI 1851033609) is an individual optometrist in Santa Rosa, California, licensed in California (35180) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851033609
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAVA WALLEN
Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719
Mailing Address3925 Old Redwood HwySanta Rosa, CA 95403-1719
Phone(707) 566-6060
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1851033609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 35180
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3925 OLD REDWOOD HWY, Santa Rosa, CA 95403
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ava Wallen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCILLE HESTER BRONGERSMA O.D.
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5297
CRISTINA PAPPAS SILVERBERG
Speech-Language Pathologist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (205) 247-2389
DR. JEFF MILLER MD
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5312
MS. GAIL PROSSER RD, CDE
Dietitian, Registered (Nutrition, Pediatric)
3925 OLD REDWOOD HWY, DEPT OF PEDIATRICS
SANTA ROSA, CA 95403
Sonoma County (707) 566-5358
DR. JANE H LEE-KOIDA O.D.
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5342
DR. CHRISTINE W KU M.D.
Specialist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5452
MS. ANGELA BIZZARRI PFLUGRATH DO
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4033
ELIZABETH NGUYEN TRAN OD
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ava Wallen's NPI number?

The NPI number for Ava Wallen is 1851033609. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Ava Wallen located?

Ava Wallen practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 566-6060.

What is Ava Wallen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ava Wallen enrolled in Medicare?

Yes. Ava Wallen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ava Wallen was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.