Organization Active NPI

I Care Optical LLC

  • Eyewear Supplier
  • Nampa, ID
National Provider Identifier
1346378304
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
003024994 Issued in ID
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

Updated by the provider on May 22, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
807429000MedicaidID

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.