Provider Demographics
NPI:1477748408
Name:DR. S. L. ABBEY, CHARTERED
Entity Type:Organization
Organization Name:DR. S. L. ABBEY, CHARTERED
Other - Org Name:ABBEY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:L
Authorized Official - Last Name:ABBEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:620-442-1111
Mailing Address - Street 1:520 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:ARKANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67005-2228
Mailing Address - Country:US
Mailing Address - Phone:620-442-1111
Mailing Address - Fax:
Practice Address - Street 1:520 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:ARKANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:67005-2228
Practice Address - Country:US
Practice Address - Phone:620-442-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS005010OtherMEDICARE
KS005010OtherMEDICARE