Active NPI
I Care Optical LLC
- Eyewear Supplier
- Nampa, ID
National Provider Identifier
1346378304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 003024994
- Legal business name
- I CARE OPTICAL LLC
- Practice address
- 1017 12TH Ave S
Nampa, ID 83651-4660 - Phone
- (208) 466-5600
- Fax
- (208) 461-0420
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muhamed Hadzic
- Title
- Owner
- Phone
- (208) 466-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 003024994 | ID | Primary |
Addresses
Primary practice location
1017 12TH Ave S
Nampa, ID 83651-4660
Mailing address
1017 12TH Ave S
Nampa, ID 83651-4660
Phone (208) 466-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807429000 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
1906 Fairview Ave
Caldwell, ID 83605
Phone (208) 385-3680
1015 12th Ave S
Ste 104
Nampa, ID 83651
1017 12th Ave S
Nampa, ID 83651
Phone (208) 466-5600
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Boise, ID
- NPI 1407371891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558483200000",
"number": "1346378304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514660",
"telephone_number": "208-466-5600",
"fax_number": "208-461-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514660",
"telephone_number": "208-466-5600",
"fax_number": "208-461-0420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I CARE OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2019-05-22",
"status": "A",
"authorized_official_last_name": "HADZIC",
"authorized_official_first_name": "MUHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-466-5600"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "ID",
"license": "003024994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807429000",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.