Organization
ABBOTT EYE CLINIC INC PC
Active
Other names
Image Optical
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W ABBOTT MD (PRESIDENT OWNER)
(574) 294-3030
Entity
Organization
Contact information
Practice address
2222 W LEXINGTON AVE, ELKHART, IN 46514-1420
(574) 294-3030
(574) 294-3544
Mailing address
2222 W LEXINGTON AVE, ELKHART, IN 46514-1420
(574) 294-3030
(574) 294-3544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018880001
DMER
IN
Enumeration date
11/08/2006
Last updated
10/19/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up