Healthcare Provider Details

I. General information

NPI: 1316015902
Provider Name (Legal Business Name): BHAVANI R. IYER O.D., F.A.A.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FANNIN ST STE 1800 UNIVERSITY EYE ASSOCIATES /ROBERT CIZIK EYE CLINIC
HOUSTON TX
77030-1526
US

IV. Provider business mailing address

6400 FANNIN ST STE 1800 UNIVERSITY EYE ASSOCIATES /ROBERT CIZIK EYE CLINIC
HOUSTON TX
77030-1526
US

V. Phone/Fax

Practice location:
  • Phone: 713-559-5200
  • Fax: 713-559-5292
Mailing address:
  • Phone: 713-559-5200
  • Fax: 713-559-5292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number07149T
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number07149T
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: