Gregory S Abel, O.D.
Individual provider Active NPI Optometrist · Ft Collins, CO
NPI 1720077043 · NPPES record last updated Jul 19, 2012
Key facts
- NPI
- 1720077043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- CO1941 (CO)
- Practice address
- 2111 Custer Drive
Ft Collins, CO 80525 - Phone
- (970) 224-9880
- Fax
- (970) 224-9881
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20100211000510 | CO | Practitioner - Optometry | 6709778129 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO1941 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Abel & Abel Inc | Optometrist | Current |
Accepting new patients |
| One Hour Optical Medical Services, PC | Optometrist | Current |
Accepting new patients |
| One Hour Optical Medical Services, PC | Optometrist | Current |
Accepting new patients |
Locations
1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747
2111 Custer Dr
Fort Collins, CO 80525
Phone (970) 224-9880
2519 S Shields St
Ste 1H
Fort Collins, CO 80526
Phone (970) 224-9880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CO1941 | CO | Yes |
Addresses
Primary practice location
2111 Custer Drive
Ft Collins, CO 80525
Mailing address
2111 Custer Drive
Ft Collins, CO 80525
Phone (970) 224-9880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29505526 | Medicaid | CO |
Other providers in Ft Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2012. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.