Provider Demographics
NPI:1043494388
Name:ABOITE EYE CARE, P.C.
Entity Type:Organization
Organization Name:ABOITE EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:LARMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-436-2000
Mailing Address - Street 1:7900 W JEFFERSON BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-4128
Mailing Address - Country:US
Mailing Address - Phone:260-436-2000
Mailing Address - Fax:260-432-4041
Practice Address - Street 1:7900 W JEFFERSON BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-4128
Practice Address - Country:US
Practice Address - Phone:260-436-2000
Practice Address - Fax:260-432-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50001870A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1503OtherPHYSICIANS HEALTH PLAN
IN000000084480OtherANTHEM
IND67786Medicare UPIN
IN1503OtherPHYSICIANS HEALTH PLAN
IN0198200001Medicare NSC