Serge G Avak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12194 T Issued in CA

Practice address

3000 Countryside Dr
Turlock, CA 95380-8402

Phone

(209) 216-4042

Fax

(209) 634-4389

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avaks Optometry

  • Optometrist
  • Turlock, CA
  • NPI 1144005380

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1255409595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BURMAN DR",
            "address_2": "AVAK'S EYE CARE INSIDE TARGET",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829275",
            "telephone_number": "708-308-8892",
            "fax_number": "209-344-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COUNTRYSIDE DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953808402",
            "telephone_number": "209-216-4042",
            "fax_number": "209-634-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAK",
        "first_name": "SERGE",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2710-035",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12194 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurbir Singh Atwal, MD
• Manpreet Atwal
• Audiology Services of Northern California Inc
• Natasha Naomi Augustine-Nelson, EMT
• Jazlynn Augustine
• Avaks Optometry
• Rachael Avila
• Lorelei W. Avilla-Lajoure, MSW, ASW, RN
• Rodney J Avilla, DO
• Rafael Ayala Lopez

• All providers in Turlock, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.