Bennett Eyecare Midwest LLC

NPI #1578598041 in Gladstone, Missouri

Provider Information

NPI Number: 1578598041
Entity Type: Organization
Organization Name: Bennett Eyecare Midwest LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BENNETT EYECARE MIDWEST LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 12, 2006
Last Updated: Dec 15, 2022

Practice Location

Address: 6080 N OAK TRFY
Address 2: SUITE 101
City: Gladstone
State: Missouri
ZIP Code: 64118
Phone: (816) 454-2020

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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