Ice Ophthalmology LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

09339 Issued in OH

Legal business name

ICE OPHTHALMOLOGY LLC

Practice address

2141 Mentor Ave
Painesville, OH 44077-1323

Phone

(440) 354-6900

NPI assigned

Dec 31, 2017

Organization subpart

No

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

Authorized official

Name

Seema Ice, M.D.NPI 1184833873

Title

Owner

Phone

(330) 281-3009

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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

• Seema Jayram Ice, M.D.

  • Ophthalmology Physician
  • Painesville, OH
  • NPI 1184833873
  Medicare reassignment NPD Authorized official
• Bernard D Perla, MD

  • Ophthalmology Physician
  • Willoughby, OH
  • NPI 1790774370
  Medicare reassignment NPD
• Carl K. Shin, M.D.

  • Ophthalmology Physician
  • Painesville, OH
  • NPI 1326046251
  Medicare reassignment NPD
• Elizabeth Chen Chiang, MD, PHD

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1336464882

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1861909707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771323",
            "telephone_number": "440-354-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICE OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-31",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "ICE",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-281-3009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "09339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjice@cksmd.direct.eyemdemr.com",
            "affiliation": "N",
            "address_1": "2141 Mentor Ave",
            "city": "Painesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440771323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Huber
• David Huffman
• Gloria Ann Hufstetler, LPN
• Humble Hearts Residential Services LLC
• Doreen Iacona
• Seema Jayram Ice, M.D.
• Linda N Imondi, OTR
• Inspire Wellness & Nutrition, LLC
• Interactive Health Solutions
• Sharon Ivaskovic

• Ophthalmology Physician in Painesville, OH
• Providers in Painesville, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.