Organization Active NPI

I-Kia Vision Center PLLC

Doing business as Icare Clinic

  • Optometrist
  • Houston, TX
National Provider Identifier
1124388715
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7794T Issued in TX
Legal business name
I-KIA VISION CENTER PLLC
Doing business as
Icare Clinic
Practice address
14405 Bellaire Blvd Ste B
Houston, TX 77083-7534
Phone
(832) 717-3937
Fax
(844) 381-9313
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Ikechi Ikechi, ODNPI 1154693570
Title
President / Owner
Phone
(832) 717-3937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7794T TX Primary

Addresses

Primary practice location

14405 Bellaire Blvd Ste B
Houston, TX 77083-7534

Mailing address

9002 N Navarro St
Victoria, TX 77904-1431
Phone (361) 579-0631

Other identifiers 1

IdentifierTypeStateIssuer
7794TOtherTXOPTOMETRIC LICENSE

Other names 1

  • Icare Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000801 TX Part B Supplier - Clinic/Group Practice 5597912519 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

14405 Bellaire Blvd
Ste B
Houston, TX 77083
Phone (832) 717-3937

9002 N Navarro St
Victoria, TX 77904
Phone (361) 485-0928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1124388715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041431",
            "telephone_number": "361-579-0631",
            "fax_number": "361-579-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 BELLAIRE BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837534",
            "telephone_number": "832-717-3937",
            "fax_number": "844-381-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-KIA VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "IKECHI",
        "authorized_official_first_name": "IKECHI",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "832-717-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7794T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "7794T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.