Icare Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C08-TA-828 Issued in AL

Legal business name

ICARE EYECARE, LLC

Practice address

2014 Morris Ave
Birmingham, AL 35203-4108

Phone

(205) 328-1744

Fax

(205) 328-4270

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Valencia Robertson Wells, ODNPI 1659504504

Title

Owner

Phone

(205) 328-1744

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Morris Avenue Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valencia Robertson Wells, O.D.

  • Optometrist
  • Birmingham, AL
  • NPI 1659504504
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1689909996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 MORRIS AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034108",
            "telephone_number": "205-328-1744",
            "fax_number": "205-328-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 MORRIS AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034108",
            "telephone_number": "205-328-1744",
            "fax_number": "205-328-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-328-1744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C08-TA-828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "102G700056",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DU6174",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151212",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Avenue Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Bernheim Iannuzzi, DPT
• Iatria General Medicine, LLC
• Lujayne Ibrahim
• Mohamed Khaled Ibrahim, M.B.B.CH
• Saad Mohammad Ibrahim
• Icona Health LLC
• Icp Alabama Aco Billing, LLC
• Icp Alabama, LLC
• Patrick E Ifediba, M.D.
• Uchenna Grace Ifediba, MD

• Optometrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.