ANGELINA GAVEL-RUKHA (OD) – Optometrist, NPI 1992357560

ANGELINA GAVEL-RUKHA (OD) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5375 (MA). The NPI Number for ANGELINA GAVEL-RUKHA (OD) is 1992357560

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGELINA GAVEL-RUKHA (OD)
NPI
1992357560
Phone
(904) 262-2249
Address
11945 San Jose Blvd Ste 202
Enumeration Date
12 July 2019
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042873678
Graduation Year
2018 (8 years ago)
PAC ID
4981932803
Group Practice PAC ID
0143541037
Professional Enrollment ID
I20231116002609
Address ID
FL322593861SA450XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:6State licenses:3Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for ANGELINA GAVEL-RUKHA (OD)

  • 11945 San Jose Blvd Ste 202

    Jacksonville, FL 322231612

    Phone: (904) 262-2249

    Type: Location

  • 405, Hartford Road, New Britain, Hartford County, Connecticut, 06053, United States

    NEW BRITAIN, CT 060531507

    Phone: (860) 893-7016

    Type: Location

  • 194;196;198;200;202;204;206;208, Beekman Drive, Agawam, Hampden County, Massachusetts, 01001, United States

    AGAWAM, MA 010012606

    Phone: (413) 459-5956

    Type: Mailing

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone:

    Type: Mailing

  • 450 STATE ROAD 13 N STE 107

    ST JOHNS, FL 322593861

    Phone: (904) 287-3678

    Fax: (904) 287-3386

    Type: Location

  • 405 HARTFORD RD

    NEW BRITAIN, CT 060531507

    Phone: (860) 893-7016

    Fax: (860) 893-7017

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Alcon Vision LLC ($177).

Total Amount

$243

General + Research + Ownership

Payments

5

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191119000304IOptometryMATBD
I20231116002609IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32223)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143541037View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL
-VA
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows ANGELINA GAVEL-RUKHA (OD) across health systems?
The NPI 1992357560 uniquely identifies ANGELINA GAVEL-RUKHA (OD) in U.S. healthcare data.
Is ANGELINA GAVEL-RUKHA (OD)'s NPI status active today?
Active status means ANGELINA GAVEL-RUKHA (OD)'s NPI record is not deactivated in the public file.
What does the directory say ANGELINA GAVEL-RUKHA (OD) does?
Insurance directories may phrase it differently, but here ANGELINA GAVEL-RUKHA (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGELINA GAVEL-RUKHA (OD)?
ANGELINA GAVEL-RUKHA (OD) is associated with Jacksonville, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

First Coast Eyewear, 2001, College Street, Riverside, Jacksonville, Duval County, Florida, 32205, United States
NPI: 1952304032
4225 LAKESIDE DR
NPI: 1073515284
Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States
NPI: 1023013851
201 N HOGAN ST STE 100
NPI: 1629077649
7500, Centurion Parkway, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1811997752
8771, Perimeter Park Court, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1972505477
Publix, 13170, Atlantic Boulevard, Kensington, Jacksonville, Duval County, Florida, 32225, United States
NPI: 1366435604
1580 Blanding Blvd
NPI: 1699768689
PSC 400 BOX 7563
NPI: 1225021637