MEDICARE: RACHEL LOOTENS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11402TG	TX

General Provider Information

NPI Number	:	1770476343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LOOTENS OD

Provider Business Mailing Address
First Line	:	1409 MONARCH OAKS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3433
Country	:	US
Telephone Number	:
Fax Number	:	713-783-9025

Provider Business Practice Location Address
First Line	:	1234 BAY AREA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2538
Country	:	US
Telephone Number	:	281-488-2020
Fax Number	:	281-488-2009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	01/28/2026

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Directions to “ RACHEL LOOTENS OD” Practice Location

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