Provider Demographics
NPI:1154693570
Name:IKECHI, IKECHI (OD)
Entity type:Individual
Prefix:DR
First Name:IKECHI
Middle Name:
Last Name:IKECHI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14405 BELLAIRE BLVD STE B14405
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7533
Mailing Address - Country:US
Mailing Address - Phone:832-717-3937
Mailing Address - Fax:844-381-9313
Practice Address - Street 1:14405 BELLAIRE BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7534
Practice Address - Country:US
Practice Address - Phone:832-717-3937
Practice Address - Fax:844-381-9313
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7797-TG152WP0200X
TX7794-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics