Individual
DR. MIRANDA KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1855 29TH ST # 1-E1156, BOULDER, CO 80301-1065
(720) 565-0445
Mailing address
1855 29TH ST # 1-E1156, BOULDER, CO 80301-1065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2379DT
KY
152W00000X
Optometrist
Primary
OPT.0004156
CO
Other
Enumeration date
06/24/2024
Last updated
01/12/2026
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