Healthcare Provider Details

I. General information

NPI: 1790749810
Provider Name (Legal Business Name): SABATES EYE CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 S ARROWHEAD DR
INDEPENDENCE MO
64055-6957
US

IV. Provider business mailing address

11261 NALL AVE
LEAWOOD KS
66211-1675
US

V. Phone/Fax

Practice location:
  • Phone: 913-261-2020
  • Fax: 913-261-2090
Mailing address:
  • Phone: 913-261-2020
  • Fax: 913-671-3225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH PRAVOOT GIRA
Title or Position: CMO
Credential:
Phone: 314-909-0633