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

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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