Organization Active NPI

Lasercare Eye Center, P.a.

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1003911629
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K8626 Issued in TX
Legal business name
LASERCARE EYE CENTER, P.A.
Practice address
440 W Lyndon B Johnson Fwy
Irving, TX 75063-3707
Phone
(214) 574-9600
Fax
(214) 574-9601
NPI assigned
Sep 14, 2006
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sidney K Gicheru, M.D.NPI 1093807703
Title
President / Physician
Phone
(214) 574-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0066TG TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X K8626 TX Primary

Addresses

Primary practice location

440 W Lyndon B Johnson Fwy
Irving, TX 75063-3707

Mailing address

1900 E State Highway 114
Southlake, TX 76092-6510
Phone (214) 574-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050910000251 TX Part B Supplier - Clinic/Group Practice 0143252130 Receives reassigned benefits from 4 practitioners
Practice locations: Plano, TX; Southlake, TX; Irving, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

440 W Lyndon B Johnson Fwy
Ste 335
Irving, TX 75063
Phone (214) 363-8889

440 W Lyndon B Johnson Fwy
Ste 300
Irving, TX 75063

4708 Dexter Dr
Ste 450
Plano, TX 75093
Phone (469) 331-8585

4708 Alliance Blvd
Ste 620
Plano, TX 75093
Phone (469) 331-8585

1900 E State Highway 114
Southlake, TX 76092

1900 E State Highway 114
#100
Southlake, TX 76092

1900 E State Highway 114
Ste 100
Southlake, TX 76092
Phone (817) 481-2727

1910 E State Highway 114
Southlake, TX 76092
Phone (214) 207-4233

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1003911629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926510",
            "telephone_number": "214-574-9600",
            "fax_number": "214-574-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LYNDON B JOHNSON FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "214-574-9600",
            "fax_number": "214-574-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASERCARE EYE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "GICHERU",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "214-574-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "0066TG",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K8626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.