Organization Active NPI

Icare Associates Vision Center TX PLLC

  • Optometrist
  • Fort Hood, TX
National Provider Identifier
1417715350
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ICARE ASSOCIATES VISION CENTER TX PLLC
Practice address
4250 S Clear Creek Road
Fort Hood, TX 76544-5082
Phone
(254) 532-1544
Fax
(410) 874-8599
NPI assigned
Mar 6, 2024
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Dr. Dniel Olanrewaju, OD
Title
Ceo
Phone
(254) 532-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

4250 S Clear Creek Road
Fort Hood, TX 76544-5082

Mailing address

BLDG 4250, Clear Creek Road
Fort Hood, TX 76544-5082
Phone (254) 532-1544

Other practice location 1

2799 Rose St Ste 3
Fort Meade, MD 20755-5140
Phone (410) 305-4142

Other practice location 2

1811 G St Ste C00007
Jb Andrews, MD 20762-5677
Phone (301) 735-1393

Other practice location 3

127 Gold Vault Rd Ste 1
Fort Knox, KY 40121-5254
Phone (502) 799-1675

Other practice location 4

2515 Funston Rd Ste A0010
Fort Sam Houston, TX 78234-7667
Phone (210) 223-1104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250820002537 TX Part B Supplier - Clinic/Group Practice 6800396391 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Hood, TX

National Provider Directory

National Provider Directory

Locations

2515 Funston Rd
Ste A10
Jbsa Ft Sam Houston, TX 78234
Phone (210) 223-1104

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1417715350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 4250, CLEAR CREEK ROAD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445082",
            "telephone_number": "254-532-1544",
            "fax_number": "512-305-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S CLEAR CREEK ROAD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445082",
            "telephone_number": "254-532-1544",
            "fax_number": "410-874-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 Rose St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fort Meade",
            "state": "MD",
            "postal_code": "207555140",
            "country_code": "US",
            "telephone_number": "410-305-4142",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 G St Ste C00007",
            "address_purpose": "LOCATION",
            "city": "Jb Andrews",
            "state": "MD",
            "postal_code": "207625677",
            "country_code": "US",
            "telephone_number": "301-735-1393",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Gold Vault Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Knox",
            "state": "KY",
            "postal_code": "401215254",
            "country_code": "US",
            "telephone_number": "502-799-1675",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Funston Rd Ste A0010",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347667",
            "country_code": "US",
            "telephone_number": "210-223-1104",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICARE ASSOCIATES VISION CENTER TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "OLANREWAJU",
        "authorized_official_first_name": "DNIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-532-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.