Active NPI
Abba Eye Care PC
- Optometrist
- La Junta, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ABBA EYE CARE PC
- Practice address
- 314 Colorado Ave
La Junta, CO 81050-3608 - Phone
- (719) 384-2020
- Fax
- (719) 384-4423
- NPI assigned
- May 10, 2007
- Last updated
- Jan 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcus John Meyer
- Title
- Owner
- Phone
- (719) 219-3819
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
314 Colorado Ave
La Junta, CO 81050-3608
Mailing address
1200 E Campbell Rd Ste 108
Richardson, TX 75081-1963
Phone (314) 741-8183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015491 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1130 Lake Plaza Dr
Ste 245
Colorado Springs, CO 80906
7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020
314 Colorado Ave
La Junta, CO 81050
Phone (303) 544-8331
1030 E Stewart Ave
Bldg 2017
Peterson AFB, CO 80914
Phone (719) 574-5252
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Colorado Springs, CO
- NPI 1114927464
-
- Optometrist
- Colorado Springs, CO
- NPI 1669604781
-
- Optometrist
- Colorado Springs, CO
- NPI 1760867402
-
- Optometrist
- Fair Lawn, NJ
- NPI 1821471657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1114132644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E CAMPBELL RD STE 108",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750811963",
"telephone_number": "314-741-8183",
"fax_number": "314-741-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 COLORADO AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810503608",
"telephone_number": "719-384-2020",
"fax_number": "719-384-4423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABBA EYE CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-219-3819",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04015491",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Junta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.