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M.T. ALDRICH OD OPTOMETRY PC NPI 1396939260


NPI Information

NPI: 1396939260
Provider Name: M.T. ALDRICH, OD, OPTOMETRY, PC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1427 VILLAGE DR
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 279-2339
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M.T. ALDRICH, OD, OPTOMETRY, PC is an eyewear supplier in Saint Joseph, MO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. M.T. ALDRICH, OD, OPTOMETRY, PC NPI is 1396939260. The provider is registered as an organization entity type.

The provider's business location address is:

1427 VILLAGE DR
SAINT JOSEPH, MO
ZIP 64506-459
Phone: (816) 279-2339
Fax: (816) 279-0110

The provider's authorized official is Max T Aldrich .
The authorized official title is Owner/optometrist and has the following contact phone number (816) 279-2339.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 8/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierT02103MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L170000MEDICARE PIN
20648520001MEDICARE NSCMISSOURI
3T42477MEDICARE UPINMISSOURI
4310043104MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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