Individual provider Active NPI

Thu Trang Koeler, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1477663565
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13122 Issued in CA
Practice address
7601 Carson Blvd
Long Beach, CA 90808-2367
Phone
(562) 384-3065
Fax
(562) 377-1872
NPI assigned
Aug 30, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13122 CA Primary

Addresses

Primary practice location

7601 Carson Blvd
Long Beach, CA 90808-2367

Mailing address

7601 Carson Blvd
Long Beach, CA 90808-2367
Phone (714) 643-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0131220MedicaidCA

Other names 1

  • Thu Anh Trang Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070705000563 CA Practitioner - Optometry 4981704947 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision, Inc. PastSince May 7, 2023 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1477663565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082367",
            "telephone_number": "714-643-2020",
            "fax_number": "562-377-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082367",
            "telephone_number": "562-384-3065",
            "fax_number": "562-377-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELER",
        "first_name": "THU",
        "middle_name": "TRANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-12",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0131220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THU",
            "last_name": "TRANG",
            "middle_name": "ANH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.