Individual provider Active NPI

Chike R Mordi, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1144484858
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7220TG Issued in TX
Practice address
4899 Griggs Rd
Houston, TX 77021-2855
Phone
(713) 748-5000
Fax
(713) 748-5000
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 7220TG TX
Occupational Vision Optometrist 152WX0102X 7220TG TX
Pediatric Optometrist 152WP0200X 7220TG TX
Optometrist 152W00000X 7220TG TX Primary

Addresses

Primary practice location

4899 Griggs Rd
Houston, TX 77021-2855

Mailing address

4899 Griggs Rd
Houston, TX 77021-2855
Phone (713) 748-5000

Other identifiers 2

IdentifierTypeStateIssuer
206477602MedicaidTX
7220TGOtherTXOPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000088 TX Practitioner - OptometryPractitioner - Other (Physician) 7416003058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4899 Griggs Rd
Houston, TX 77021-2855
Phone (713) 748-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7220TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctor Houston PC Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Vielma Vision Eyecare Optometrist PastSince Oct 19, 2018 Accepting new patients
Eyecount Ventures LLC. Optometrist PastSince Sep 18, 2017 Accepting new patients

Locations

4899 Griggs Rd
Houston, TX 77021
Phone (713) 748-5000

4899 Griggs Rd
Ste A
Houston, TX 77021
Phone (713) 748-5000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1144484858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212855",
            "telephone_number": "713-748-5000",
            "fax_number": "713-748-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212855",
            "telephone_number": "713-748-5000",
            "fax_number": "713-748-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDI",
        "first_name": "CHIKE",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7220TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "7220TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7220TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7220TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206477602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "7220TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.