Provider Demographics
NPI:1508913161
Name:I CARE VISION CENTERS,PC
Entity Type:Organization
Organization Name:I CARE VISION CENTERS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORLEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-421-2424
Mailing Address - Street 1:5560 W 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-7338
Mailing Address - Country:US
Mailing Address - Phone:303-421-2424
Mailing Address - Fax:303-421-2155
Practice Address - Street 1:5560 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-7338
Practice Address - Country:US
Practice Address - Phone:303-421-2424
Practice Address - Fax:303-421-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04015244Medicaid
COCE0987OtherPALMETTO GBA - RAILROAD MEDICARE
COCA2303Medicare PIN
CO04015244Medicaid