Organization Active NPI

Icare Health LLC

  • Ophthalmology Physician
  • Bedford, TX
National Provider Identifier
1740864719
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ICARE HEALTH LLC
Practice address
1604 Hospital Pkwy Ste 201
Bedford, TX 76022-6930
Phone
(682) 688-2020
Fax
(682) 382-2097
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Amanda Sklar, COA
Title
Practice Administrator
Phone
(682) 688-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 201
Bedford, TX 76022-6930

Mailing address

1604 Hospital Pkwy Ste 201
Bedford, TX 76022-6930
Phone (682) 688-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220303001474 TX Part B Supplier - Clinic/Group Practice 4082008222 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

1885 FM 2673
Canyon Lake, TX 78133
Phone (206) 786-5171

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1740864719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 201",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226930",
            "telephone_number": "682-688-2020",
            "fax_number": "682-382-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 201",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226930",
            "telephone_number": "682-688-2020",
            "fax_number": "682-382-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "682-688-2020",
        "authorized_official_credential": "COA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.