ICT EYE LLC
NPI 1427446178
Ophthalmology in Wichita, KS

Q: What is Ict Eye LLC's NPI number?

The NPI number for Ict Eye LLC is 1427446178. It was assigned to this organization in the NPPES registry on January 5, 2015.

Q: What is Ict Eye LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ict Eye LLC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 05, 2015CLIA 17D2111174 · Waiver

9300 E 29TH ST N STE 315, WICHITA, KS 67226(316) 425-0445(316) 425-0460 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Ict Eye Llc NPPES

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

ICT EYE LLC (NPI 1427446178) is a healthcare organization registered as an ophthalmology in Wichita, Kansas and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Jennifer K Burgoyne, Owner, as its authorized official.

NPPES Registry Identity

NPI1427446178

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameICT EYE LLC

Location Address9300 E 29TH ST N STE 315Wichita, KS 67226-2184

Mailing AddressPo Box 743Wichita, KS 67201-0743 · (316) 425-0445 · Fax (316) 425-0460

Phone(316) 425-0445

Fax(316) 425-0460

Organization SubpartNo

Authorized OfficialJennifer K BurgoyneOwner · (316) 841-2805

Enumeration DateJanuary 5, 2015

Last NPPES UpdateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1427446178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in KS · 04-29078

Definition

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.

9300 E 29TH ST N STE 315, Wichita, KS 67226

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ict Eye Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ict Eye LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Burgoyne, M.D.

Ophthalmology

NPI 1912943408

9300 E 29TH ST N STE 315
Wichita, KS 67226

(316) 425-0445

✔ PECOS✔ Accepts MedicareSame address

Jamie Speth, OD

Optometry

NPI 1659429116

9300 E 29TH ST N STE 315
Wichita, KS 67226

(316) 425-0445

✔ PECOS0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2111174

Ict Eye, LLC · Wichita, KS

Active · expires Mar 30, 2028

CLIA Number17D2111174

Laboratory TypePhysician Office

Certificate Effective DateMarch 31, 2026

Certificate Expiration DateMarch 30, 2028

Laboratory DirectorJennifer K. Burgoyne Dechant MD

Laboratory Phone(316) 425-0445

Laboratory LocationIct Eye, LLC9300 E 29th St #315, Wichita, KS 67226

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ict Eye LLC's NPI number?

The NPI number for Ict Eye LLC is 1427446178. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Ict Eye LLC located?

Ict Eye LLC is located at 9300 E 29th St N Ste 315, Wichita, KS 67226. The listed phone number is (316) 425-0445.

What is Ict Eye LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ict Eye LLC enrolled in Medicare?

Yes. Ict Eye LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ict Eye LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ict Eye LLC, in Ophthalmology and Optometry. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ict Eye LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2111174) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ict Eye LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Ict Eye LLC 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 Ict Eye LLC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.