NPIMap

Organization Active NPI

Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1982815379
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ABBA EYE CARE PC
Practice address
1030 E Stewart Ave
Building 2017
Colorado Springs, CO 80914-2900
Phone
(719) 574-5252
Fax
(719) 325-5182
NPI assigned
May 25, 2007
Last updated
Feb 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Dr. Marcus MeyerNPI 1114927464
Title
Owner
Phone
(719) 219-3819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1030 E Stewart Ave
Building 2017
Colorado Springs, CO 80914-2900

Mailing address

1130 Lake Plaza Drive
Suite #230
Colorado Springs, CO 80906
Phone (719) 219-3819

Other identifiers 1

IdentifierTypeStateIssuer
04015491MedicaidCO

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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1982815379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LAKE PLAZA DRIVE",
            "address_2": "SUITE #230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-219-3819",
            "fax_number": "719-219-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E STEWART AVE",
            "address_2": "BUILDING 2017",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809142900",
            "telephone_number": "719-574-5252",
            "fax_number": "719-325-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARCUS",
        "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": []
}

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 Feb 8, 2019; 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.