Healthcare Provider Details

I. General information

NPI: 1508913161
Provider Name (Legal Business Name): I CARE VISION CENTERS,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5560 W 44TH AVE
DENVER CO
80212-7338
US

IV. Provider business mailing address

5560 W 44TH AVE
DENVER CO
80212-7338
US

V. Phone/Fax

Practice location:
  • Phone: 303-421-2424
  • Fax: 303-421-2155
Mailing address:
  • Phone: 303-421-2424
  • Fax: 303-421-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH M ORLEANS
Title or Position: OPTOMETRIST
Credential:
Phone: 303-421-2424