Icely, Michael
Icely, Michael is an individual health care provider with primary practice located at 2149 W 24Th St , Yuma AZ 85364-6136. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Icely, Michael can be contacted via phone (928) 726-1100.Contact Information
Primary practice address
2149 W 24Th St
Yuma AZ 85364-6136
Phone: (928) 726-1100
Fax: (928) 341-0881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1754 | Arizona |
Profile Details
| NPI number | 1902127061 |
|---|---|
| LBN Legal business name | Icely, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2010 |
| Last updated | Feb 2nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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