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iCare Optometry, PLLC

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Company Details

Name: iCare Optometry, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4217809
Place of Formation: IDAHO
File Number: 754649
ZIP code: 83404
County: Bonneville County
Principal Address: ATTN: SCOTT KAWAKAMI OD, SAM'S CLUB OPTICAL CENTER 700 E. 17TH STREET IDAHO FALLS, ID 83404
Mailing Address: ATTN: SAM'S CLUB OPTICAL CENTER 700 E 17TH ST IDAHO FALLS, ID 83404-6152

Agent

Name Role Address
Scott Kawakami Agent 700 E 17TH STREET, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Scott Kawakami OD Manager 700 E. 17TH STREET, IDAHO FALLS, ID 83404 2022-02-06

National Provider Identifier

NPI Number:
1518548064
Certification Date:
2021-06-22

Authorized Person:

Name:
SCOTT KAWAKAMI
Role:
OPTOMETRIST
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006088934 2025-02-03
Annual Report 0005579823 2024-02-03
Annual Report 0005091009 2023-02-03
Annual Report 0004597581 2022-02-06
Statement of Change of Business Mailing Address 0004284215 2021-05-17

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State