Provider Demographics
NPI:1659519155
Name:ABILENE EYE CARE, INC.
Entity Type:Organization
Organization Name:ABILENE EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMEO
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:325-692-8750
Mailing Address - Street 1:4102 BUFFALO GAP RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-7248
Mailing Address - Country:US
Mailing Address - Phone:325-692-8750
Mailing Address - Fax:325-692-7520
Practice Address - Street 1:4102 BUFFALO GAP RD
Practice Address - Street 2:SUITE I
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-7248
Practice Address - Country:US
Practice Address - Phone:325-692-8750
Practice Address - Fax:325-692-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4811TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty