Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Wadolowski Koehler, OD

Individual provider Optometrist · NPI 1164094702

Dr. Lisa Wadolowski Koehler, OD is an Optometry in Memphis, Tennessee. Qualified in 2021, 5 years ago. Practices with Southern College of Optometry, a 56-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1225 Madison Ave
Memphis, TN 38104-2211
Phone: (901) 722-3250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 009354 (NY)

Record details

NPI number1164094702
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern College Of Optometry — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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