Laura Coudron, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3520 Issued in MN

Practice address

111 Star St Ste 101
Mankato, MN 56001-4889

Phone

(507) 387-6695

Fax

(507) 387-6696

NPI assigned

Apr 12, 2016

Last updated

Oct 4, 2023By 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

Other names 1

• Dr. Laura Kay Goemann Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Pacific University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amj Optometric Services PSCGroup PAC ID 6901052760, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amj Optometric Services PSC

  dba Eye Q Vision

  • Optometrist
  • Mankato, MN
  • NPI 1659635209
  Medicare reassignment Care Compare group NPD
• Mankato Optical Inc

  dba Eye Q Vision

  • Technician/Technologist
  • Mankato, MN
  • NPI 1346322609
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1790149003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STAR ST STE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014889",
            "telephone_number": "507-387-6695",
            "fax_number": "507-387-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STAR ST STE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014889",
            "telephone_number": "507-387-6695",
            "fax_number": "507-387-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUDRON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GOEMANN",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Raymond Cornelius, PHARM.D.
• Cornerstone Caregiving East LLC
• Jacqueline Corona, M.D.
• Rebecca M Corrow, APRN, CNP
• Alexis Lise Cote-Sands, LICSW
• County of Blue Earth
• County of Blue Earth
• County of Blue Earth
• County of Blue Earth
• Allan Joseph Coursol, LP

• Optometrist in Mankato, MN
• Providers in Mankato, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.