Healthcare Provider Details

I. General information

NPI: 1235460239
Provider Name (Legal Business Name): INSIGHT VISION CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4899 GRIGGS RD STE A
HOUSTON TX
77021-2855
US

IV. Provider business mailing address

4899 GRIGGS RD STE A
HOUSTON TX
77021-2855
US

V. Phone/Fax

Practice location:
  • Phone: 713-748-5000
  • Fax: 713-748-8707
Mailing address:
  • Phone: 713-748-5000
  • Fax: 713-748-8707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7220TG
License Number StateTX

VIII. Authorized Official

Name: CHIKE R. MORDI
Title or Position: DOCTOR OF OPTOMETRY
Credential: O.D.
Phone: 713-748-5000