Provider Demographics
NPI:1790297190
Name:INSIGHT VISION CARE
Entity Type:Organization
Organization Name:INSIGHT VISION CARE
Other - Org Name:HOUSTON EYE DOCTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIKE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORDI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-748-5000
Mailing Address - Street 1:4899 GRIGGS RD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2855
Mailing Address - Country:US
Mailing Address - Phone:713-748-5000
Mailing Address - Fax:713-748-8707
Practice Address - Street 1:16103 LEXINGTON BLVD # 1
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2385
Practice Address - Country:US
Practice Address - Phone:281-242-1331
Practice Address - Fax:713-748-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty