Laura Vrazel Koehler, O.D.
NPI 1487818738ActiveIndividual· Optometrist· League City, TX
Optometrist (O.D.) in League City, Texas, trained at University of Houston - College of Optometry (class of 2008). In 2024 Medicare paid $30,500 for 126 patients, and Part D covered 65 of their prescriptions, 34% of them generic. Bausch & Lomb Americas Inc. was the largest of 3 companies reporting payments in 2025, $213.03 in all, mostly food and beverage.
Overview
| NPI | 1487818738 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 16, 2008 |
| Last updated in NPPES | Jan 26, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 7215TG | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 606 across 11 procedure codes |
| Paid by Medicare | $30,500 |
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 82 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $21,370 |
| Generic share | 34% of claims |
Education and affiliations
| Medical school | University of Houston - College of Optometry |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Optometry |
Medical group
- Sec Signature Eye Center, LLCLeague City, TX · 2 clinicians
Industry payments (Open Payments)
- 2025$213.03 · 6 payments from 3 companies
- 2024$1,639 · 20 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bausch & Lomb Americas Inc. | $143.09 | 3 |
| Alcon Vision LLC | $47.53 | 2 |
| Johnson & Johnson Vision Care, Inc. | $22.41 | 1 |
What the 2025 payments were for
- Food and Beverage$213.03 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 optometrists in League City · All optometrists in Texas