Serene Koudsi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35946 Issued in CA

Practice address

1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125

Phone

(909) 363-1450

NPI assigned

Jun 3, 2025

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Azul Vision Inc.

  dba Azul Vision

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1285247528

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pacific Eye Institute, a Medical Group, Inc.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1962422709
  Medicare reassignment
• Eyecare Specialists Medical Group, Inc

  dba Atlantis Eyecare

  • Ophthalmology Physician
  • Anaheim, CA
  • NPI 1437181930

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1750275095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864904",
            "telephone_number": "800-345-8979",
            "fax_number": "909-949-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W REDLANDS BLVD STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733125",
            "telephone_number": "909-363-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUDSI",
        "first_name": "SERENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilo Kolbeck, DPT
• Susan Marie Konkel-White, LMFT
• Byron Timothy Korompis, DPT
• Amber Korstad, CMT
• William R. Kosch, RPH
• Yvonne Pusparini Kounang, DMD
• Laurel Ann Kramp, MASSAGE THERAPIST
• Janelle Kratz
• Carol Rosenquist Kreuter, PHARM D
• Dayna Duckworth Kringlen, A.P.R.N.

• Optometrist in Redlands, CA
• Providers in Redlands, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.