RATHANART SOMPHRUEK
NPI 1861372088
Optometrist in Houston, TX

Q: What is Rathanart Somphruek's NPI number?

The NPI number for Rathanart Somphruek is 1861372088. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Q: What is Rathanart Somphruek's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 08, 2025PECOS EnrolledAccepts Medicare Assignment

3400 EDLOE ST, HOUSTON, TX 77027(832) 877-8412 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Rathanart Somphruek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RATHANART SOMPHRUEK (NPI 1861372088) is an individual optometrist in Houston, Texas, licensed in Texas (11522) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2025).

NPPES Registry Identity

NPI1861372088

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameRATHANART SOMPHRUEK

Location Address3400 EDLOE STHouston, TX 77027-6500

Mailing Address3400 Edloe StHouston, TX 77027-6500

Phone(832) 877-8412

Sole ProprietorYes

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2025

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 7, 2025

✔ NPI 1861372088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 11522

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rathanart Somphruek is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870087612

PECOS Enrollment IDI20251210000473

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rathanart Somphruek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aeg Texas Professional PLLC

Optometrist

205B W WATER ST
Kerrville, TX 78028

Reassigned Medicare billing, Texas enrollment
404 clinicians in this Medicare group

NPI 1457905937 (830) 896-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rathanart Somphruek's NPI number?

The NPI number for Rathanart Somphruek is 1861372088. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Rathanart Somphruek located?

Rathanart Somphruek practices at 3400 Edloe St, Houston, TX 77027. The listed phone number is (832) 877-8412.

What is Rathanart Somphruek's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rathanart Somphruek enrolled in Medicare?

Yes. Rathanart Somphruek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rathanart Somphruek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rathanart Somphruek reassigns Medicare benefits to Aeg Texas Professional PLLC (Kerrville, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rathanart Somphruek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rathanart Somphruek accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Rathanart Somphruek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rathanart Somphruek was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.