AVA WALLEN
NPI 1851033609
Optometrist in Santa Rosa, CA

Q: 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.

Q: What is Ava Wallen's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Ava Wallen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

36 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Lighthouse For The Blind And Visually Impaired

52 mi

Low Vision Rehabilitation

1155 MARKET ST FL 10
San Francisco, CA 94103

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1396856381 (415) 431-1481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Ava Wallen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ava Wallen reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Lighthouse For The Blind And Visually Impaired (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ava Wallen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.