Provider Demographics
NPI:1790749810
Name:SABATES EYE CENTERS, PA
Entity Type:Organization
Organization Name:SABATES EYE CENTERS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCKEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-261-2020
Mailing Address - Street 1:11261 NALL AVE
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1675
Mailing Address - Country:US
Mailing Address - Phone:913-261-2020
Mailing Address - Fax:913-671-3225
Practice Address - Street 1:4741 S ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6957
Practice Address - Country:US
Practice Address - Phone:913-261-2020
Practice Address - Fax:913-261-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO500580303Medicaid
MO500580303Medicaid
KSCN9410Medicare PIN
KS4050000EMedicare PIN
KS1071440004Medicare NSC
MO4050000AMedicare PIN
MO1071440002Medicare NSC
MO4050000HMedicare PIN
MO4050000DMedicare PIN
KS111067Medicare PIN
MO1071440005Medicare NSC
MO1071440013Medicare NSC
MO1071440012Medicare NSC