Individual provider Active NPI

Erin Koetter, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1801404728
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9974T Issued in TX
Practice address
2799 Katy Fwy Ste 240
Houston, TX 77007-4629
Phone
(281) 636-5741
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9974T TX Primary

Addresses

Primary practice location

2799 Katy Fwy Ste 240
Houston, TX 77007-4629

Mailing address

5832 Darling St Unit 5
Houston, TX 77007-1089
Phone (281) 636-5741

Other practice location 1

25855 Northwest Fwy
Cypress, TX 77429-1049
Phone (832) 761-8101

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
I20220223000270 TX Practitioner - Optometry 0840684536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2799 Kate Fwy
Suite 240
Houston, TX 77007-4629
Phone (281) 940-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9974TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Hub LLC Optometrist CurrentSince Feb 7, 2022 Accepting new patients

Locations

2799 Katy Fwy
Ste 240
Houston, TX 77007
Phone (281) 636-5741

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1801404728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 DARLING ST UNIT 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071089",
            "telephone_number": "281-636-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 KATY FWY STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074629",
            "telephone_number": "281-636-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25855 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774291049",
            "country_code": "US",
            "telephone_number": "832-761-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOETTER",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9974T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.