IVAN JOSEPH SRUT O.D.
NPI 1295729994
Optometrist in Houston, TX

Q: What is Ivan Srut's NPI number?

The NPI number for Ivan Srut is 1295729994. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Ivan Srut's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Srut was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2005PECOS Enrolled

4635 SOUTHWEST FWY, SUITE 155, HOUSTON, TX 77027(713) 961-0940(713) 961-1996 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ivan Joseph Srut O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN JOSEPH SRUT O.D. (NPI 1295729994) is an individual optometrist in Houston, Texas, licensed in Texas (5342TG) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1996).

NPPES Registry Identity

NPI1295729994

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameIVAN JOSEPH SRUTCredential: O.D.

Location Address4635 SOUTHWEST FWY, SUITE 155Houston, TX 77027-7169

Mailing Address4635 Southwest Fwy, Suite 155Houston, TX 77027-7169 · (713) 961-0940 · Fax (713) 961-1996

Phone(713) 961-0940

Fax(713) 961-1996

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1996

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1295729994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 5342TG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4635 SOUTHWEST FWY, Houston, TX 77027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Joseph Srut O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769412808

PECOS Enrollment IDI20050817001081

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ivan Srut reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lin & Tran Od PA

22 mi

Optometrist

20131 HIGHWAY 59 N STE 2416
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
9 clinicians in this Medicare group

NPI 1265791115 (832) 338-8688

Luck Optical LLC

237 mi

Optometrist

7108 CAMP BOWIE BLVD
Fort Worth, TX 76116

Reassigned Medicare billing, Texas enrollment
8 clinicians in this Medicare group

NPI 1871926857 (817) 738-3191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRITRAX LIMITED LIABILITY CORPORATION

Home Health

4635 SOUTHWEST FWY, SUITE 202
HOUSTON, TX 77027

Harris County (713) 868-0900

TRUSTED LIFE CARE INC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

4635 SOUTHWEST FWY, STE 365
HOUSTON, TX 77027

Harris County (281) 558-6006

DR. ROBERT LEE ANDREWS JR. D.D.S. PH.D

Dentist (Orthodontics and Dentofacial Orthopedics)

4635 SOUTHWEST FWY, SUITE 700
HOUSTON, TX 77027

Harris County (713) 877-0697

PIN OAK CAREGIVERS, LLC

In Home Supportive Care

4635 SOUTHWEST FWY, SUITE 640
HOUSTON, TX 77027

Harris County (713) 621-4040

SHULTS INDUSTRIES INC

Home Health

4635 SOUTHWEST FWY, 540
HOUSTON, TX 77027

Harris County (713) 942-0100

TRITRAX THERAPY, INC

Home Health

4635 SOUTHWEST FWY, SUITE # 182
HOUSTON, TX 77027

Harris County (713) 850-0088

JEFFREY S. SNYDER, O.D & ASSOCIATES, PC

Optometrist

4635 SOUTHWEST FWY, SUITE 155
HOUSTON, TX 77027

Harris County (713) 961-0940

A-1 ADVANTAGE HOME HEALTH SERVICES INC

Home Health

4635 SOUTHWEST FWY, SUITE 301
HOUSTON, TX 77027

Harris County (281) 953-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Srut's NPI number?

The NPI number for Ivan Srut is 1295729994. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Ivan Srut located?

Ivan Srut practices at 4635 Southwest Fwy Suite 155, Houston, TX 77027. The listed phone number is (713) 961-0940.

What is Ivan Srut's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ivan Srut enrolled in Medicare?

Yes. Ivan Srut is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ivan Srut's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Srut reassigns Medicare benefits to 2 organizations: Lin & Tran Od PA (Humble, TX) and Luck Optical LLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Srut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivan Srut accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Ivan Srut as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Srut was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.