20/20 Icare Tyler PLLC
Optometrist in Tyler, TX. Organization (NPI-2).
NPI number1073240271
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1073240271
- Entity type
- Organization (NPI-2)
- Legal business name
- 20/20 Icare Tyler PLLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2022
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WV0400X | Optometrist, Vision Therapy | – | – | |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – |
Practice location
4824 S Broadway AveTyler, TX 75703-1312
Phone 903-581-2020
Mailing address
4824 S Broadway AveTyler, TX 75703-1312
Phone 903-581-2020 · Fax 903-509-1492
Authorized official
Lea M Yorsky
Insurance And Credentialing
2817322714
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