Organization Active NPI

I Care Ventures LLC

  • Optometrist
  • Taylor, AZ
National Provider Identifier
1093253197
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1588 Issued in AZ
Legal business name
I CARE VENTURES LLC
Practice address
860 W Roy Palmer Rd
Taylor, AZ 85939-1940
Phone
(928) 243-3309
NPI assigned
Feb 8, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Bryce Arvin Palmer, O.D.NPI 1487840435
Title
Optometrist
Phone
(928) 243-3309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1588 AZ Primary

Addresses

Primary practice location

860 W Roy Palmer Rd
Taylor, AZ 85939-1940

Mailing address

PO Box 1940
Taylor, AZ 85939-1940
Phone (928) 243-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170224002177 AZ Part B Supplier - Clinic/Group Practice 9234413980 Receives reassigned benefits from 2 practitioners
Practice locations: Show Low, AZ

National Provider Directory

National Provider Directory

Locations

700 Mikes Pike St
Winslow, AZ 86047
Phone (928) 289-3301

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1093253197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1940",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859391940",
            "telephone_number": "928-243-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W ROY PALMER RD",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859391940",
            "telephone_number": "928-243-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "ARVIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "928-243-3309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.