OrganizationActive
Icare Optical, LLC
NPI 1770913626 · Customized Equipment (DME) · Saint Paul, MN
Provider details
- NPI number
- 1770913626
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Chonburi Lee, Owner(651) 373-0914
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1001 Johnson Pkwy
Ste 271
Saint Paul, MN 55106-3474
Phone: (651) 315-1766
Fax: (651) 318-3651
Street-level locationGet directions
Mailing address
1815 Ross Ave E
Saint Paul, MN 55119-3431
Registry dates
- Enumerated
- 2013-11-13
- Last updated
- 2013-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.