Ivan Joseph Srut, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5342TG Issued in TX

Practice address

4635 Southwest Fwy
Suite 155
Houston, TX 77027-7169

Phone

(713) 961-0940

Fax

(713) 961-1996

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Luck Optical LLCGroup PAC ID 8426285370, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luck Optical LLC

  • Optometrist
  • Fort Worth, TX
  • NPI 1871926857
  Medicare reassignment Care Compare group
• Lin & Tran OD PA

  • Optometrist
  • Humble, TX
  • NPI 1265791115
  Medicare reassignment NPD
• St Hope Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Sugar Land, TX
  • NPI 1992869846
  NPD
• St. Hope Foundation, Inc

  • Federally Qualified Health Center (FQHC)
  • Jersey Village, TX
  • NPI 1952078990
  NPD
• St. Hope Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bellaire, TX
  • NPI 1558479683
  NPD
• Ambrose Mobile Health Care Association

  • Ophthalmic Technician/Technologist
  • Houston, TX
  • NPI 1346326113
  NPD (past)
• Jeffrey S. Snyder, O.D & Associates, PC

  • Optometrist
  • Houston, TX
  • NPI 1417941113
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295729994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY",
            "address_2": "SUITE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277169",
            "telephone_number": "713-961-0940",
            "fax_number": "713-961-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY",
            "address_2": "SUITE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277169",
            "telephone_number": "713-961-0940",
            "fax_number": "713-961-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRUT",
        "first_name": "IVAN",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5342TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwin Srivatsav
• SRM Sleep Solutions, Inc.
• SRM Smilespllc
• Samer Srour, MD
• SRTH LLC
• SS National Hospice Solutions LLC
• SSBL Health Services LLC
• SSC Harris Jacinto City LLC
• SSC Harris Spring Branch LLC
• SSC Houston Cypress Wood Operating Company LLC

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.