Sabates Eye Centers LLC

Organization Active NPI Ophthalmology Physician · Independence, MO

NPI 1790749810 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1790749810
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
SABATES EYE CENTERS LLC
Practice address
4741 S Arrowhead Dr
Independence, MO 64055-6957
Phone
(913) 261-2020
Fax
(913) 261-2090
NPI assigned
Apr 14, 2006
Organization subpart
No

Authorized official

Name
Joseph Pravoot Gira
Title
Cmo
Phone
(314) 909-0633

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040309000989 MO Part B Supplier - Clinic/Group Practice 3971491093 Receives reassigned benefits from 26 practitioners
Practice locations: Kansas City, MO; Saint Joseph, MO; Independence, MO
O20040809000445 KS Part B Supplier - Clinic/Group Practice 3971491093 Receives reassigned benefits from 28 practitioners
Practice locations: Leawood, KS; Overland Park, KS; Topeka, KS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207W00000X Yes

Addresses

Primary practice location

4741 S Arrowhead Dr
Independence, MO 64055-6957

Mailing address

11261 Nall Ave
Leawood, KS 66211-1675
Phone (913) 261-2020

Other identifiers

IdentifierTypeStateIssuer
500580303MedicaidMO

Other providers in Independence, MO

All providers in Independence, MO · Ophthalmology Physician in Missouri

Sources for this page

Verify at the official NPI Registry.