MEDICARE: ICARE 2020 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1316516792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICARE 2020 LLC

Provider Business Mailing Address
First Line	:	910 S WAYSIDE DR STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3417
Country	:	US
Telephone Number	:	713-921-0233
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 S WAYSIDE DR STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3417
Country	:	US
Telephone Number	:	713-921-0233
Fax Number	:	713-921-4304

Authorized Official
Title or Position	:	OPTOMETRIST OWNER
Name	:	DR. ARSHIA KHAN
Credential	:	O.D.
Telephone Number	:	713-921-0233

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	01/29/2025

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Directions to “ICARE 2020 LLC ” Practice Location

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