Provider Demographics
NPI:1942833397
Name:ABELL, THOMAS G III (OD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:ABELL
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 OLD ROSEBUD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8005
Mailing Address - Country:US
Mailing Address - Phone:859-373-3000
Mailing Address - Fax:859-373-0024
Practice Address - Street 1:1800 OLD LEBANON RD
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-9663
Practice Address - Country:US
Practice Address - Phone:270-789-2023
Practice Address - Fax:270-465-5361
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2198DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100691710Medicaid