Organization Active NPI

Icare Vision PLC

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1962562900
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001177 Issued in VA
Legal business name
ICARE VISION PLC
Practice address
2105 McComas Way
Virginia Beach, VA 23456
Phone
(757) 301-8847
Fax
(757) 301-8853
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Grace Luong, O.D.NPI 1184798324
Title
Member
Phone
(757) 301-8847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001177 VA Primary

Addresses

Primary practice location

2105 McComas Way
Virginia Beach, VA 23456

Mailing address

2105 McComas Way
Virginia Beach, VA 23456
Phone (757) 301-8847

Other names 1

  • Nimmo Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000546 VA Part B Supplier - Clinic/Group Practice 2062414329 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

2105 McComas Way
Ste 101
Virginia Beach, VA 23456
Phone (757) 301-8847

2105 McComas Way
Virginia Beach, VA 23456
Phone (757) 301-8847

Practitioners & affiliated clinicians

Practitioners 2

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1962562900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 MCCOMAS WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23456",
            "telephone_number": "757-301-8847",
            "fax_number": "757-301-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MCCOMAS WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23456",
            "telephone_number": "757-301-8847",
            "fax_number": "757-301-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE VISION PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-301-8847",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimmo Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.