Individual
DR. CARL G ABBOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2753 SOUTH CLARK, MEXICO, MO 65265
(573) 581-8668
(573) 581-8850
Mailing address
11636 ACR 945, THOMPSON, MO 65285
(573) 581-8668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03251
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168751
BLUE CROSS BLUE SHIELD
MO
01
—
2353639
UNITED HEALTH CARE
—
01
—
53566
HEALTHCARE USA
MO
Enumeration date
11/10/2005
Last updated
07/08/2007
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