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NPI Code Detail

MEDICARE: ABBA EYE CARE INC

MEDICARE: ABBA EYE CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598979023
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABBA EYE CARE INC
Provider Business Mailing Address
First Line : 1130 LAKE PLAZA DRIVE
Second Line : SUITE #230
City : COLORADO SPRINGS
State : CO
Zip : 80906
Country : US
Telephone Number : 719-219-3819
Fax Number : 719-219-0411
Provider Business Practice Location Address
First Line : 6110 MARTINEZ ST
Second Line :
City : FT CARSON
State : CO
Zip : 80913-2048
Country : US
Telephone Number : 719-368-2446
Fax Number : 719-576-9332
Authorized Official
Title or Position : OWNER
Name : DR. MARCUS MEYER
Credential :
Telephone Number : 719-219-3819
Provider Enumeration Date : 05/10/2007
Last Update Date : 04/17/2013

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Directions to “ABBA EYE CARE INC ” Practice Location

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