Organization
20/20 ICARE TYLER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA M YORSKY (INSURANCE AND CREDENTIALING)
(281) 732-2714
Entity
Organization
Contact information
Practice address
4824 S BROADWAY AVE, TYLER, TX 75703-1312
(903) 581-2020
Mailing address
4824 S BROADWAY AVE, TYLER, TX 75703-1312
(903) 581-2020
(903) 509-1492
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8143TG
TEXAS OPTOMETRY BOARD
TX
Enumeration date
08/07/2022
Last updated
07/01/2026
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