Provider Demographics
NPI:1639361090
Name:DRS ABEL & ABEL INC
Entity Type:Organization
Organization Name:DRS ABEL & ABEL INC
Other - Org Name:MTN VIEW EYE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:970-224-9880
Mailing Address - Street 1:2111 CUSTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-224-9880
Mailing Address - Fax:970-224-9881
Practice Address - Street 1:2111 CUSTER DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2403
Practice Address - Country:US
Practice Address - Phone:970-224-9880
Practice Address - Fax:970-224-9881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO1940152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1255720001Medicare NSC
COCD1903Medicare PIN