Organization
ABBA EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1813 N CIRCLE DR, COLORADO SPRINGS, CO 80909-2410
(719) 632-2020
(719) 630-0467
Mailing address
1130 LAKE PLAZA DR, COLORADO SPRINGS, CO 80906-3594
(719) 219-3819
(719) 219-0411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015491
—
CO
Enumeration date
05/10/2007
Last updated
11/04/2020
Update your record
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