Provider Demographics
NPI:1033324694
Name:FELIX N SABATES JR MD EYE CARE CENTER
Entity type:Organization
Organization Name:FELIX N SABATES JR MD EYE CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:N
Authorized Official - Last Name:SABATES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:816-246-0050
Mailing Address - Street 1:100 NW TUDOR RD SUITE 100
Mailing Address - Street 2:
Mailing Address - City:LEE'S SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086
Mailing Address - Country:US
Mailing Address - Phone:816-246-0050
Mailing Address - Fax:816-246-1153
Practice Address - Street 1:100 NW TUDOR RD SUITE 100
Practice Address - Street 2:
Practice Address - City:LEE'S SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086
Practice Address - Country:US
Practice Address - Phone:816-246-0050
Practice Address - Fax:816-246-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001011429332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000E811Medicare ID - Type UnspecifiedPROVIDER NUMBER