NPIMap

Organization Active NPI

Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1952301129
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 1000 Issued in CO
Legal business name
ABBA EYE CARE PC
Practice address
1130 Lake Plaza Dr Ste 130
Colorado Springs, CO 80906-3595
Phone
(719) 219-3819
Fax
(314) 741-4947
NPI assigned
Jul 28, 2005
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Melissa Allison
Title
Sr Director MVC
Phone
(314) 741-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 1000 CO Primary

Addresses

Primary practice location

1130 Lake Plaza Dr Ste 130
Colorado Springs, CO 80906-3595

Mailing address

111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone (618) 462-9818

Other identifiers 1

IdentifierTypeStateIssuer
04015491MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317000504 CO Part B Supplier - Clinic/Group Practice 1355231051 Receives reassigned benefits from 96 practitioners
Practice locations: Lamar, CO; Pueblo, CO; Pagosa Springs, CO; La Junta, CO; Gunnison, CO; Colorado Springs, CO; Aurora, CO; Alamosa, CO…

National Provider Directory

National Provider Directory
Tax ID family
Abba Eye Care PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14991 E Hampden Ave
Ste 110
Aurora, CO 80014
Phone (303) 343-9500

1130 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906
Phone (719) 219-3819

1813 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-2020

5190 N Academy Blvd
Ste 110
Colorado Springs, CO 80918
Phone (719) 632-2020

6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020

1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222

Practitioners & affiliated clinicians

Practitioners 113

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.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1952301129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026206",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LAKE PLAZA DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063595",
            "telephone_number": "719-219-3819",
            "fax_number": "314-741-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR DIRECTOR MVC",
        "authorized_official_telephone_number": "314-741-8183"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 1000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015491",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.