Icare Optometry of Pennsylvania PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ICARE OPTOMETRY OF PENNSYLVANIA PC

Practice address

8410 Roosevelt Blvd
Philadelphia, PA 19152-2012

Phone

(267) 635-7089

Fax

(315) 612-9793

NPI assigned

Oct 22, 2021

Last updated

Mar 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolina Henriquez

Title

Director of Operations

Phone

(267) 635-7089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 6

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.

• Joseph James Lombardi, OD

  • Optometrist
  • Berwick, PA
  • NPI 1306806575
  Medicare reassignment Care Compare group NPD
• Adel Ebraheem, MS, OD

  • Optometrist
  • Baltimore, MD
  • NPI 1851961726

  PA

  Medicare reassignment Care Compare group NPD
• Pratik Vyas, OD

  • Optometrist
  • Menands, NY
  • NPI 1992155196

  PA

  Medicare reassignment Care Compare group NPD
• Tessa Lane Ives, OD

  • Optometrist
  • Murrysville, PA
  • NPI 1245906056
  Medicare reassignment NPD
• Leslie Beard Miller, O.D.

  • Optometrist
  • Lititz, PA
  • NPI 1346216959
  Medicare reassignment NPD
• Alysson Turkish, O.D.

  • Optometrist
  • Willingboro, NJ
  • NPI 1124400056

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1245994581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20980 CIPRES WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331604",
            "telephone_number": "267-635-7089",
            "fax_number": "315-612-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522012",
            "telephone_number": "267-635-7089",
            "fax_number": "315-612-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE OPTOMETRY OF PENNSYLVANIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "267-635-7089"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saria Ibrahim
• Zainab Ibrahim
• Larisa Ibric, MD
• Ibs Centers for Advanced Food Allergy Testing, LLC
• Icare Home Health LLC
• Rebecca N Ichord, M.D.
• Ida Care LLC (SarahCare on S Broad)
• Ida Lee Home Health Care LLC
• Oluwadamilola Idami, MD
• David A Iddenden, MD

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.