| Abba Eye Care Pc | |
|
1130 Lake Plaza Dr Ste 130, Colorado Springs, CO 80906-3595 | |
| (719) 219-3819 | |
| (314) 741-4947 |
| Full Name | Abba Eye Care Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1130 Lake Plaza Dr Ste 130, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952301129 | NPI | - | NPPES |
| 04015491 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 1000 (Colorado) | Primary |
| Provider Name | Gene A Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598722498 PECOS PAC ID: 4587691803 Enrollment ID: I20050719000580 |
| Provider Name | Robert S Oberbreckling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053404509 PECOS PAC ID: 5496859092 Enrollment ID: I20070409000072 |
| Provider Name | Thomas P Sutton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548269319 PECOS PAC ID: 3779688130 Enrollment ID: I20070413000516 |
| Provider Name | Stacy L Hieb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740369248 PECOS PAC ID: 6800983594 Enrollment ID: I20071031000553 |
| Provider Name | Steven A Loomis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063470144 PECOS PAC ID: 2163325564 Enrollment ID: I20100504000885 |
| Provider Name | David T Lohr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942293980 PECOS PAC ID: 2668443052 Enrollment ID: I20100825000019 |
| Provider Name | Glenn N Pierre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457351736 PECOS PAC ID: 4183818750 Enrollment ID: I20101028000539 |
| Provider Name | Douglas Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265510739 PECOS PAC ID: 7113063231 Enrollment ID: I20110124000615 |
| Provider Name | Soraya F Keshmiri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164704664 PECOS PAC ID: 5799959300 Enrollment ID: I20111116000934 |
| Provider Name | Kerry A Garwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306871363 PECOS PAC ID: 3971695099 Enrollment ID: I20120919000171 |
| Provider Name | William P Breen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225114002 PECOS PAC ID: 2961656590 Enrollment ID: I20130207000471 |
| Provider Name | Steven Patrick Clancy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619966504 PECOS PAC ID: 4082855572 Enrollment ID: I20130725000606 |
| Provider Name | Linda Song |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073628905 PECOS PAC ID: 1951321959 Enrollment ID: I20130727000024 |
| Provider Name | Danny Vandan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215363643 PECOS PAC ID: 9335379023 Enrollment ID: I20140225000579 |
| Provider Name | Alicia A Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790072643 PECOS PAC ID: 5395913180 Enrollment ID: I20140612000359 |
| Provider Name | Rozaliya Shimonova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922406933 PECOS PAC ID: 6709109374 Enrollment ID: I20150107000496 |
| Provider Name | Aaron T Lahoud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619231800 PECOS PAC ID: 9638315567 Enrollment ID: I20150629001798 |
| Provider Name | Kathryn Lynn Lachenman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912287111 PECOS PAC ID: 2365744380 Enrollment ID: I20160108000061 |
| Provider Name | Carol Lipton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447391792 PECOS PAC ID: 4183773187 Enrollment ID: I20160414000340 |
| Provider Name | Mia J Jennings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588648034 PECOS PAC ID: 7214236868 Enrollment ID: I20160503000914 |
| Provider Name | Michael Kruglet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356656920 PECOS PAC ID: 9830498419 Enrollment ID: I20160503001741 |
| Provider Name | Tim Burrows |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326109265 PECOS PAC ID: 1254323165 Enrollment ID: I20161122001880 |
| Provider Name | Brendan M Tobler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861843203 PECOS PAC ID: 4082991401 Enrollment ID: I20170511001450 |
| Provider Name | David R Robbins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124479076 PECOS PAC ID: 5193002566 Enrollment ID: I20170512000723 |
| Provider Name | Ethan D Brilley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376065029 PECOS PAC ID: 3072884212 Enrollment ID: I20170804003299 |
| Provider Name | Lacey J Honeycutt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104230937 PECOS PAC ID: 0749408243 Enrollment ID: I20170818001133 |
| Provider Name | Garrett E Moen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629458930 PECOS PAC ID: 0446511950 Enrollment ID: I20180226001039 |
| Provider Name | Matthew Barnett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669779195 PECOS PAC ID: 4981951415 Enrollment ID: I20180716001100 |
| Provider Name | Ilene Y Siringo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457391831 PECOS PAC ID: 9739275959 Enrollment ID: I20181031002137 |
| Provider Name | Anthony J Jarecke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689748915 PECOS PAC ID: 1850631045 Enrollment ID: I20190326001876 |
| Provider Name | Jacqueline Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053726315 PECOS PAC ID: 4587997473 Enrollment ID: I20190607001948 |
| Provider Name | Kristen Elizabeth Heck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003918921 PECOS PAC ID: 3274594213 Enrollment ID: I20190910000708 |
| Provider Name | Rachel Cartmell Sires |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205497583 PECOS PAC ID: 6800125295 Enrollment ID: I20190910003286 |
| Provider Name | Swati Kumar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922583665 PECOS PAC ID: 1153675541 Enrollment ID: I20200203000397 |
| Provider Name | Kelly M Cawley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164084521 PECOS PAC ID: 4284058389 Enrollment ID: I20200722002054 |
| Provider Name | Christopher Envani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639271042 PECOS PAC ID: 1557418993 Enrollment ID: I20200728002076 |
| Provider Name | Maria E Sicco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659931020 PECOS PAC ID: 6305171208 Enrollment ID: I20200728003730 |
| Provider Name | Kelly Louise Bourgon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194213751 PECOS PAC ID: 4981955895 Enrollment ID: I20200917003222 |
| Provider Name | Michael A Bagley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114380482 PECOS PAC ID: 1355767369 Enrollment ID: I20201023000020 |
| Provider Name | Bruce Tanner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508437906 PECOS PAC ID: 7113322546 Enrollment ID: I20210824001976 |
| Provider Name | Terri-ann Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952557555 PECOS PAC ID: 2567520661 Enrollment ID: I20220228001795 |
| Provider Name | Karen Mohar Sanghera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467884817 PECOS PAC ID: 0446477798 Enrollment ID: I20220302000637 |
| Provider Name | Caitlin Squires |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639731250 PECOS PAC ID: 5890021968 Enrollment ID: I20220302000756 |
| Provider Name | Van-anh Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770036212 PECOS PAC ID: 4688072622 Enrollment ID: I20220302001065 |
| Provider Name | Seth Dean Baldwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710264072 PECOS PAC ID: 2062766652 Enrollment ID: I20220307000585 |
| Provider Name | Philip Potts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952449837 PECOS PAC ID: 3375648660 Enrollment ID: I20220311000024 |
| Provider Name | Brian Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356436661 PECOS PAC ID: 1759316631 Enrollment ID: I20220322000249 |
| Provider Name | Samuel Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608974 PECOS PAC ID: 2264524503 Enrollment ID: I20220323001973 |
| Provider Name | Malay Pansheria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821471657 PECOS PAC ID: 4082904214 Enrollment ID: I20220401000396 |
| Provider Name | Libertad Melendez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124083886 PECOS PAC ID: 9335276393 Enrollment ID: I20220401001672 |
| Provider Name | Michael Gitchel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033412341 PECOS PAC ID: 4183006521 Enrollment ID: I20220802003118 |
| Provider Name | Todd Roger Hebert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295885366 PECOS PAC ID: 1254235641 Enrollment ID: I20221021002519 |
| Provider Name | Fariha Sabiri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174003677 PECOS PAC ID: 8022408830 Enrollment ID: I20221111001582 |
| Provider Name | Marilyn Kay Holm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104811488 PECOS PAC ID: 7911974282 Enrollment ID: I20221121000606 |
| Provider Name | Brian Lewy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750379087 PECOS PAC ID: 5597089011 Enrollment ID: I20230105002423 |
| Provider Name | Dana Hobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619590403 PECOS PAC ID: 3779966551 Enrollment ID: I20230403001034 |
| Provider Name | Joseph Pruitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477752913 PECOS PAC ID: 8921187477 Enrollment ID: I20230414000908 |
| Provider Name | Dena Shahani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134533953 PECOS PAC ID: 8123404274 Enrollment ID: I20230506000317 |
| Provider Name | Priscilla Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235126129 PECOS PAC ID: 5092790592 Enrollment ID: I20230518003534 |
| Provider Name | Ronald Meeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194728188 PECOS PAC ID: 9032000286 Enrollment ID: I20230605000305 |
| Provider Name | Nathaniel Nielsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972178523 PECOS PAC ID: 8022471242 Enrollment ID: I20230905003499 |
| Provider Name | Arpit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710595368 PECOS PAC ID: 1254729684 Enrollment ID: I20231004000736 |
| Provider Name | Kelsey Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992462725 PECOS PAC ID: 8820484694 Enrollment ID: I20240126002602 |
| Provider Name | Alexander Conati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467115626 PECOS PAC ID: 1355784869 Enrollment ID: I20240222002726 |
| Provider Name | Melissa Prickett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346423753 PECOS PAC ID: 6204906563 Enrollment ID: I20240514002854 |
| Mailing Address | Practice Location Address |
|---|---|
| Abba Eye Care Pc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Abba Eye Care Pc 1130 Lake Plaza Dr Ste 130, Colorado Springs, CO 80906-3595 Ph: (719) 219-3819 |
Michael Millsap, Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8250 Razorback Rd, Colorado Springs, CO 80920 Phone: 719-260-8230 Fax: 719-260-1235 | |
Joseph P Austin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7238 N Academy Blvd, Colorado Springs, CO 80920 Phone: 719-592-9991 Fax: 719-260-6251 | |
Elevate Optometry Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4425 Venetucci Blvd, Colorado Springs, CO 80906 Phone: 719-313-4382 | |
Dr. Blake G. Simmons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 E Fontanero St Ste 201, Colorado Springs, CO 80907 Phone: 719-559-2020 Fax: 719-623-6088 | |
Academy Kids Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3630 Austin Bluffs Pkwy Ste 120, Colorado Springs, CO 80918 Phone: 719-304-5400 Fax: 719-304-5409 | |
Jeanne Ruth Derber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9240 Explorer Dr Ste 100, Colorado Springs, CO 80920 Phone: 719-574-7000 Fax: 719-597-1712 | |
Elite Vision, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4195 Centennial Blvd, Colorado Springs, CO 80907 Phone: 719-471-1107 |