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BENNETT EYECARE MIDWEST LLC NPI 1578598041


NPI Information

NPI: 1578598041
Provider Name: BENNETT EYECARE MIDWEST LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
6080 N OAK TRFY
SUITE 101
GLADSTONE, MO
ZIP 64118
Phone: (816) 454-2020
Get Directions

BENNETT EYECARE MIDWEST LLC is an optometrist in Gladstone, MO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BENNETT EYECARE MIDWEST LLC NPI is 1578598041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6080 N OAK TRFY
SUITE 101
GLADSTONE, MO
ZIP 64118
Phone: (816) 454-2020
Fax: (816) 453-2659

The provider's authorized official is Abbie N Rondeau .
The authorized official title is Credentialing Officer and has the following contact phone number (816) 858-2522.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 12/15/2022.


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
1152W00000XOptometristT02633MISSOURIYes

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
11407839756OTHERMISSOURINPI
22018024194OTHERMISSOURISTATE LICENSE
3318693827MEDICAIDMISSOURI
41669455747OTHERMISSOURINPI
5535840201MEDICAIDMISSOURI
6316013606MEDICAIDMISSOURI
7505840207MEDICAIDMISSOURI
81528041860OTHERNPI
91811159361OTHERMISSOURINPI
10312478241MEDICAIDMISSOURI

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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