Bennett Eyecare Midwest, LLC

NPI #1679818389 in Blue Springs, Missouri

Provider Information

NPI Number: 1679818389
Entity Type: Organization
Organization Name: Bennett Eyecare Midwest, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 6, 2012
Last Updated: Feb 5, 2014

Practice Location

Address: 3417 NW MILL DR
City: Blue Springs
State: Missouri
ZIP Code: 64015-3257
Phone: (816) 229-3001

Authorized Official

Name: ABBIE RONDEAU-NELSON, O.D.
Title: CREDENTIALING OFFICER
Phone: (816) 858-2522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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