NPIMap

Individual provider Active NPI

Kaleb Sulak Abbott, OD

  • Optometrist
  • Aurora, CO
National Provider Identifier
1396230421
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003402 Issued in CO
Practice address
1675 Aurora CT
Aurora, CO 80045-2517
Phone
(720) 848-0000
NPI assigned
Jul 1, 2018
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003402 CO Primary

Addresses

Primary practice location

1675 Aurora CT
Aurora, CO 80045-2517

Mailing address

7887 E Belleview Ave Ste 180
Englewood, CO 80111-6016
Phone (303) 486-2020

Other practice location 1

7887 E Belleview Ave Ste 180
Englewood, CO 80111-6016
Phone (303) 486-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181105001158 CO Practitioner - Optometry 9335492545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Feb 14, 2022 Accepting new patients
University Physicians, Incorporated CurrentSince Feb 14, 2022 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
University Physicians Incorporated Current Accepting new patients
University Physicians, Incorporated Past Accepting new patients
Paul E Cutarelli MD Professional LLC PastSince May 1, 2002 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1675 Aurora Ct
Aurora, CO 80045
Phone (303) 724-9318

1675 Aurora Ct
Ste F731
Aurora, CO 80045
Phone (303) 724-9318

7305 E 35th Ave
Unit 180
Denver, CO 80238
Phone (303) 320-0222

Dept 1061
Denver, CO 80256

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1396230421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 E BELLEVIEW AVE STE 180",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116016",
            "telephone_number": "303-486-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452517",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7887 E Belleview Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801116016",
            "country_code": "US",
            "telephone_number": "303-486-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "KALEB",
        "middle_name": "SULAK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-01",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.