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ICT EYE LLC NPI 1427446178


NPI Information

NPI: 1427446178
Provider Name: ICT EYE LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 17D2111174

Address:
9050 E 29TH ST N
SUITE 40
WICHITA, KS
ZIP 67226
Phone: (316) 425-0445
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ICT EYE LLC is an ophthalmology in Wichita, KS. The provider is 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. ICT EYE LLC NPI is 1427446178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9050 E 29TH ST N
SUITE 40
WICHITA, KS
ZIP 67226-186
Phone: (316) 425-0445
Fax: (316) 425-0460

The provider's authorized official is Jennifer K Burgoyne Dechant .
The authorized official title is Owner and has the following contact phone number (316) 841-2805.

The CLIA number assigned to this NPI record is 17D2111174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 3/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology04-29078KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.