Abba Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ABBA EYE CARE PC

Practice address

1650 W US Highway 50
Pueblo, CO 81008-1613

Phone

(719) 542-1222

Fax

(719) 546-3940

NPI assigned

May 10, 2007

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcus John MeyerNPI 1114927464

Title

Owner

Phone

(719) 219-3819

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Marcus J Meyer, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1114927464
  Authorized official Same address or phone

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": "1740494269",
    "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": "719-219-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081613",
            "telephone_number": "719-542-1222",
            "fax_number": "719-546-3940"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015491",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abba Eye Care PC
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• Mark Fredric Abbott, M.D.
• Abc Home Health Care Inc.
• Abc Home Health Care Personal Services,Inc
• Abc Home Health Care, Inc.

• Optometrist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Optometrist in Colorado

• 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.

Verify at the official NPI Registry.