Sidney Kambo Gicheru (NPI# 1093807703, PAC ID# 6002727351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1093807703 |
| PAC ID by PECOS | 6002727351 |
| Professional Enrollment ID | I20050504000781 |
| Full Name | Sidney Kambo Gicheru |
| Organization Legal Name | LASERCARE EYE CENTER PA |
| Address |
440 W Hwy 635 300 Irving TX 75263-3707 |
| Phone Number | 2145749600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1996 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0143252130 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 440 W Hwy 635 300, Irving, TX 75263-3707 | 2145749600 | LASERCARE EYE CENTER PA |
| 1910e Hwy 114, Southlake, TX 76092 | 8174812727 | LASERCARE EYE CENTER PA |
| Organization Legal Name | LASERCARE EYE CENTER PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Maclean | Ophthalmology | Lasercare Eye Center Pa | 440 W Hwy 635 300, Irving, TX 75263-3707 |
| Ashley S Chennankara | Optometry | Lasercare Eye Center Pa | 440 W Hwy 635 300, Irving, TX 75263-3707 |
| Vu Quoc Tran | Optometry | Lasercare Eye Center Pa | 440 W Hwy 635 300, Irving, TX 75263-3707 |
| Street Address |
440 W HWY 635 300 |
| City | IRVING |
| State | TX |
| Zip | 75263-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Maclean | Ophthalmology | Lasercare Eye Center Pa | 440 W Hwy 635 300, Irving, TX 75263-3707 |
| Ashley S Chennankara | Optometry | Lasercare Eye Center Pa | 440 W Hwy 635 300, Irving, TX 75263-3707 |
| Vu Quoc Tran | Optometry | Lasercare Eye Center Pa | 440 W Hwy 635 300, Irving, TX 75263-3707 |
| City | IRVING |
| Zip Code | 75263 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | IRVING + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Sidney Kambo Gicheru.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.