IKAEHOTA AIGBIVBALU NYOWHEOMA O.D
NPI 1417975368
Optometrist in Houston, TX

Active since July 18, 2006PECOS Enrolled
55.65/100
CMS Quality Rating
300 MEMORIAL CITY WAY, HOUSTON, TX 77024(713) 647-0864(713) 772-4004 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ikaehota Aigbivbalu Nyowheoma O.d NPPES

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

IKAEHOTA AIGBIVBALU NYOWHEOMA O.D (NPI 1417975368) is an individual optometrist in Houston, Texas, licensed in Texas (05059) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417975368
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameIKAEHOTA AIGBIVBALU NYOWHEOMACredential: O.D
Location Address300 MEMORIAL CITY WAYHouston, TX 77024-2599
Mailing AddressPo Box 300997Houston, TX 77230-0997 · (713) 647-0864 · Fax (713) 647-0867
Fax(713) 772-4004
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 21, 2011
✔ NPI 1417975368 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 · 05059
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.
300 MEMORIAL CITY WAY, Houston, TX 77024

Other Identifiers 3

OtherTHJXB3DJTX · Opticare
Medicaid019163701TX
Medicare UPIN00920ETX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ikaehota Aigbivbalu Nyowheoma O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Ikaehota Nyowheoma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
9950 KATY FWY STE A
Houston, TX 77055
  • Reassigned Medicare billing, Texas enrollment
  • 396 clinicians in this Medicare group
Optometrist
4710 LOUETTA RD
Spring, TX 77388
  • Reassigned Medicare billing, Texas enrollment
  • 34 clinicians in this Medicare group
Optometrist
205B W WATER ST
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 404 clinicians in this Medicare group
Optometrist
310 EARLY BLVD
Early, TX 76802
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brownwood Optometrists PC
  • 54 clinicians in this Medicare group
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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 Ikaehota Nyowheoma's NPI number?

The NPI number for Ikaehota Nyowheoma is 1417975368. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Ikaehota Nyowheoma located?

Ikaehota Nyowheoma practices at 300 Memorial City Way, Houston, TX 77024. The listed phone number is (713) 647-0864.

What is Ikaehota Nyowheoma's specialty?

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

Is Ikaehota Nyowheoma enrolled in Medicare?

Yes. Ikaehota Nyowheoma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ikaehota Nyowheoma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ikaehota Nyowheoma reassigns Medicare benefits to 5 organizations: Med Southwest, PLLC (Houston, TX), First Texas Optometric PC (Spring, TX), Aeg Texas Professional PLLC (Kerrville, TX), Brownwood Optometrists, P.C. (Early, TX) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 Ikaehota Nyowheoma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ikaehota Nyowheoma accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 5 other insurers list Ikaehota Nyowheoma 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 Ikaehota Nyowheoma was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.