Abbott, Carl G

Abbott, Carl G is an individual health care provider with primary practice located at 2753 South Clark , Mexico MO 65265. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abbott, Carl G can be contacted via phone (573) 581-8668.

Contact Information

Primary practice address
2753 South Clark Mexico MO 65265
Phone: (573) 581-8668
Fax: (573) 581-8850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03251 Missouri

Profile Details

NPI number 1184605719
LBN Legal business name Abbott, Carl G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184605719 NPPES
Missouri Other 168751 BLUE CROSS BLUE SHIELD
Missouri Other 2353639 BLUE CROSS BLUE SHIELD
Missouri Other 53566 BLUE CROSS BLUE SHIELD

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