Organization
ABBA EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY HIEB OD (OWNER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1130 LAKE PLAZA DR STE 130, COLORADO SPRINGS, CO 80906-3595
(719) 219-3819
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 1000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015491
—
CO
Enumeration date
07/28/2005
Last updated
09/18/2023
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