Organization Active NPI

Iluvicare, PLLC

  • Optometrist
  • Cypress, TX
National Provider Identifier
1336785740
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ILUVICARE, PLLC
Practice address
7710 Fry Rd Ste 600
Cypress, TX 77433-7335
Phone
(832) 607-2055
NPI assigned
Nov 20, 2019
Last updated
Nov 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Tejal Patel-Darne, OD
Title
Owner
Phone
(832) 607-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7710 Fry Rd Ste 600
Cypress, TX 77433-7335

Mailing address

20023 New Sunrise TRL
Cypress, TX 77433-7031
Phone (832) 607-2055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200228001666 TX Part B Supplier - Clinic/Group Practice 4587091707 Receives reassigned benefits from 2 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

7710 Fry Rd
Ste 600
Cypress, TX 77433
Phone (832) 607-2055

Practitioners & affiliated clinicians

Practitioners 3

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": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1336785740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20023 NEW SUNRISE TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337031",
            "telephone_number": "832-607-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 FRY RD STE 600",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337335",
            "telephone_number": "832-607-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILUVICARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "PATEL-DARNE",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-607-2055",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.