Bennett Eyecare Midwest, LLC

NPI #1396997821 in Platte City, Missouri

Provider Information

NPI Number
1396997821
Entity Type
Organization
Organization Name
Bennett Eyecare Midwest, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BENNETT EYECARE MIDWEST
Primary Specialty
Optometrist
Enumeration Date
Oct 15, 2008
Last Updated
Sep 17, 2012

Practice Location

Address
2441 NW PRAIRIE VIEW RD
ZIP Code
64079-7627
Phone
(816) 858-2522

Authorized Official

Name
DR. ABBIE N RONDEAU
Title
CREDENTIALING OFFICER
Phone
(816) 858-2522

Specialties & Taxonomy Codes

Specialty
Optometrist

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