Active NPI
Ikaehota Aigbivbalu Nyowheoma, O.D
- Optometrist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 05059
- Practice address
- 300 Memorial City Way
Houston, TX 77024-2599 - Phone
- (713) 647-0864
- Fax
- (713) 772-4004
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 05059 | TX | Primary |
Addresses
Primary practice location
300 Memorial City Way
Houston, TX 77024-2599
Mailing address
PO Box 300997
Houston, TX 77230-0997
Phone (713) 647-0864
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THJXB3DJ | Other | TX | OPTICARE |
| 019163701 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05059 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| First Texas Optometric PC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| First Texas Optometric PC | Optometrist | Current | Accepting new patients |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Vision Essence Inc. | Optometrist | Current | Accepting new patients |
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Brownwood Optometrists, P.C. | Optometrist | Current | Accepting new patients |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Janet B Ogletree OD PA | Optometrist | Past | Accepting new patients |
Locations
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015
1329 W Davis St
Conroe, TX 77304
Phone (936) 441-3937
310 Early Blvd
Early, TX 76802
Phone (325) 643-1826
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
7586 W Bellfort Ave
Houston, TX 77071
Phone (713) 647-0864
300 Northpark Dr
Ste 600
Kingwood, TX 77339
Phone (281) 360-1006
2401 N 16th St
Orange, TX 77630
Phone (409) 886-2292
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 12
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.
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- Optometrist
- Houston, TX
- NPI 1396763157
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
dba Dzilth-Na-O-Dith-Hle Health Center
- General Acute Care Hospital
- Bloomfield, NM
- NPI 1760427587
-
- Optometrist
- Oklahoma City, OK
- NPI 1679440762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1417975368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300997",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772300997",
"telephone_number": "713-647-0864",
"fax_number": "713-647-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEMORIAL CITY WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242599",
"telephone_number": "713-647-0864",
"fax_number": "713-772-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYOWHEOMA",
"first_name": "IKAEHOTA",
"middle_name": "AIGBIVBALU",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "05059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTICARE",
"identifier": "THJXB3DJ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019163701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 21, 2011; 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.