Kaleb Sulak Abbott, OD
Individual provider Active NPI Optometrist · Aurora, CO
NPI 1396230421 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1396230421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT.0003402 (CO)
- Practice address
- 1675 Aurora CT
Aurora, CO 80045-2517 - Phone
- (720) 848-0000
- NPI assigned
- Jul 1, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 27
Medicare Care Compare profile
- 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 Incorporated
Practice addresses (Care Compare)
12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000
Hospital & facility affiliations
- University of Colorado Hospital Authority
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181105001158 | CO | Practitioner - Optometry | 9335492545 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sowash Optometry Group PC | Optometrist | Current |
Accepting new patients |
| University Physicians Incorporated | Current |
Accepting new patients | |
| Sowash Optometry Group, PC | Optometrist | Current |
Accepting new patients |
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians, Incorporated | Current |
Accepting new patients | |
| University Physicians, Incorporated | Past | Accepting new patients | |
| Paul E Cutarelli MD Professional LLC | Past |
Accepting new patients |
Locations
1675 Aurora Ct
Ste F731
Aurora, CO 80045
Phone (720) 848-2020
1675 Aurora Ct
Aurora, CO 80045
Phone (720) 748-2020
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003402 | CO | Yes |
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
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.