Stewart L Abbey, OD
Individual provider Active NPI Optometrist · Arkansas City, KS
NPI 1316989072 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1316989072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 09433 (KS)
- Practice address
- 520 N Summit St
Arkansas City, KS 67005 - Phone
- (620) 442-1111
- Fax
- (620) 442-2628
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09433 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds & Anliker Eye Physicians & Surgeons LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 09433 | KS | Yes |
Addresses
Primary practice location
520 N Summit St
Arkansas City, KS 67005
Mailing address
PO Box 959
Arkansas City, KS 67005-0959
Phone (620) 442-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100089600A | Medicaid | KS | |
| 005010001 | Other | KS | MEDICARE |
| 410014269 | Other | RAILROAD MEDICARE |
Other providers in Arkansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.