Provider Demographics
NPI:1689677106
Name:MCCABE, EUGENE J (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:J
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1005 FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2338
Mailing Address - Country:US
Mailing Address - Phone:636-724-7116
Mailing Address - Fax:636-916-4627
Practice Address - Street 1:1005 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2338
Practice Address - Country:US
Practice Address - Phone:636-724-7116
Practice Address - Fax:636-916-4627
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR9550207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11946OtherOPTICARE
MO8035OtherEXCLUSIVE CHOICE
MO2235OtherGHP
MO22466OtherBLUE SHIELD
MO0951302OtherAETNA
MO100995OtherHEALTHLINK
MO0800026OtherUNITED HEALTHCARE
MO4000687OtherAETNA
MOA13199Medicare UPIN