Individual provider Active NPI

Laura Vrazel Koehler, O.D.

  • Optometrist
  • League City, TX
National Provider Identifier
1487818738
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7215TG Issued in TX
Practice address
601 E FM 646 Rd Ste a
League City, TX 77573-7478
Phone
(281) 337-3344
Fax
(281) 337-3340
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7215TG TX Primary

Addresses

Primary practice location

601 E FM 646 Rd Ste a
League City, TX 77573-7478

Mailing address

601 E FM 646 Rd Ste a
League City, TX 77573-7478
Phone (281) 337-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081007000720 TX Practitioner - Optometry 2860560505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sec Signature Eye Center, LLCGroup PAC ID 8123196862, 2 clinicians

Practice addresses (Care Compare)

601 E FM 646 Rd
Suite a
League City, TX 77573-3279

601 E FM 646 Rd
Suite a
League City, TX 77573-7478
Phone (281) 337-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sec Signature Eye Center, LLC Optometrist CurrentSince Aug 8, 2008 Accepting new patients

Locations

2810 Gulf Fwy S
Ste B
League City, TX 77573
Phone (281) 337-3344

601 E FM 646 Rd
Ste A
League City, TX 77573
Phone (281) 337-3344

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1487818738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E FM 646 RD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737478",
            "telephone_number": "281-337-3344",
            "fax_number": "281-337-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E FM 646 RD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737478",
            "telephone_number": "281-337-3344",
            "fax_number": "281-337-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "LAURA",
        "middle_name": "VRAZEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7215TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.