17D2111174 CLIA NUMBER - ICT EYE, LLC

Laboratory Demographics

CLIA Number: 17D2111174

Facility Name: ICT EYE, LLC

Facility Address:
9300 E 29TH ST #315
WICHITA, KS
ZIP 67226
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Facility Phone Number: 316 425-0445

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427446178

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	17D2111174
LAB Type	Physician Office
Facility Name	ICT EYE, LLC
Street	9300 E 29TH ST #315
City	WICHITA
State	KS
ZIP	67226
Phone	316 425-0445
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024