Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Icely, OD

Individual provider Optometrist · NPI 1902127061

Dr. Michael Icely, OD is an Optometry in Yuma, Arizona. Graduated from Pacific University - College of Optometry in 2010, 16 years ago. Practices with Raymond R Corona OD PC, a 9-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Trained at
Pacific University - College of Optometry
Licensed in
AZ
In the registry since
2010
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2149 W 24th St
Yuma, AZ 85364-6136
Phone: (928) 726-1100
Fax: (928) 341-0881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1754 (AZ)

Record details

NPI number1902127061
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 11, 2010
Last updated in NPPESFebruary 2, 2017
Mailing address2149 W 24th St, Yuma, AZ 85364-6136

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice Raymond R Corona Od Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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