Provider Demographics
NPI:1497857916
Name:I CARE EYE WARE, INC.
Entity Type:Organization
Organization Name:I CARE EYE WARE, INC.
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC, DL, DO
Authorized Official - Phone:562-633-7434
Mailing Address - Street 1:322 LAKEWOOD CENTER MALL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2409
Mailing Address - Country:US
Mailing Address - Phone:562-633-7434
Mailing Address - Fax:562-633-7435
Practice Address - Street 1:322 LAKEWOOD CENTER MALL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2409
Practice Address - Country:US
Practice Address - Phone:562-633-7434
Practice Address - Fax:562-633-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAABOC146965156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty