Healthcare Provider Details

I. General information

NPI: 1790297190
Provider Name (Legal Business Name): INSIGHT VISION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16103 LEXINGTON BLVD # 1
SUGAR LAND TX
77479-2385
US

IV. Provider business mailing address

4899 GRIGGS RD STE A
HOUSTON TX
77021-2855
US

V. Phone/Fax

Practice location:
  • Phone: 281-242-1331
  • Fax: 713-748-8707
Mailing address:
  • Phone: 713-748-5000
  • Fax: 713-748-8707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CHIKE R MORDI
Title or Position: OWNER
Credential: OD
Phone: 713-748-5000