20/20 Icare Tyler PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

20/20 ICARE TYLER PLLC

Practice address

4824 S Broadway Ave
Tyler, TX 75703-1312

Phone

(903) 581-2020

NPI assigned

Aug 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lea M Yorsky

Title

Insurance and Credentialing

Phone

(281) 732-2714

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Long DO, O.D.

  • Optometrist
  • Waco, TX
  • NPI 1154763340
  Medicare reassignment NPD
• Andrew Eric Hamilton, OD

  • Optometrist
  • Tyler, TX
  • NPI 1043094147
  Medicare reassignment NPD
• Lou Henry Martinez, OD

  • Optometrist
  • Waco, TX
  • NPI 1447825914
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1073240271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031312",
            "telephone_number": "903-581-2020",
            "fax_number": "903-509-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031312",
            "telephone_number": "903-581-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 ICARE TYLER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "YORSKY",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE AND CREDENTIALING",
        "authorized_official_telephone_number": "281-732-2714"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "8143TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1 Harmonica Home Care LLC
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• 62 Roses Wellness, LLC
• A Rooted Life Company LLC
• A&Z Wholesale Distribution LLC

• All providers in Tyler, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.