| Bennett Eyecare Midwest Llc | |
|
6080 N Oak Trfy, Suite 101, Gladstone, MO 64118 | |
| (816) 454-2020 | |
| (816) 453-2659 |
| Full Name | Bennett Eyecare Midwest Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6080 N Oak Trfy, Gladstone, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578598041 | NPI | - | NPPES |
| 1407839756 | Other | MO | NPI |
| 2018024194 | Other | MO | STATE LICENSE |
| 318693827 | Medicaid | MO | |
| 1669455747 | Other | MO | NPI |
| 535840201 | Medicaid | MO | |
| 316013606 | Medicaid | MO | |
| 505840207 | Medicaid | MO | |
| 1528041860 | Other | NPI | |
| 1811159361 | Other | MO | NPI |
| 312478241 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T02633 (Missouri) | Primary |
| Provider Name | Barry V Bowles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801856810 PECOS PAC ID: 3779534300 Enrollment ID: I20050201000686 |
| Provider Name | Abbie N Rondeau Nelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811159361 PECOS PAC ID: 2163573783 Enrollment ID: I20090622000461 |
| Provider Name | Ryan J Broyles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750548871 PECOS PAC ID: 5799838496 Enrollment ID: I20090728000630 |
| Provider Name | David Scott Fritz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669408506 PECOS PAC ID: 1850415415 Enrollment ID: I20100902001094 |
| Provider Name | Matthew Bednar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528041860 PECOS PAC ID: 0244385540 Enrollment ID: I20110817000751 |
| Provider Name | David Tischinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407839756 PECOS PAC ID: 2062567365 Enrollment ID: I20110819000557 |
| Provider Name | Derrick Wayne Crabtree |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144633439 PECOS PAC ID: 1153549951 Enrollment ID: I20181110000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett Eyecare Midwest Llc 2441 Nw Prairie View Rd, Platte City, MO 64079-7627 Ph: (816) 858-2522 | Bennett Eyecare Midwest Llc 6080 N Oak Trfy, Suite 101, Gladstone, MO 64118 Ph: (816) 454-2020 |
Heintz-sight 20/20, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 7201 North M-1 Hwy, Gladstone, MO 64119 Phone: 816-436-5823 | |
Kc Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 6000 N Oak Tfwy, Ste 101, Gladstone, MO 64118 Phone: 816-454-1030 Fax: 816-454-2625 | |
Dr. Alyssa Baily Sherwood, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5769 Ne Antioch Rd, Gladstone, MO 64119 Phone: 816-454-3937 Fax: 816-459-7282 | |
Viking Vision, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 5769 Ne Antioch Rd, Gladstone, MO 64119 Phone: 816-454-3937 | |
Bennett Eyecare Midwest, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6080 N Oak Trwy, Suite 101, Gladstone, MO 64118 Phone: 816-454-2020 Fax: 816-453-2659 | |
James D Rubin O.d. Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2920 Ne 60th St, Gladstone, MO 64119 Phone: 816-452-3937 Fax: 816-455-2428 | |
Mr. David Thomas Tischinski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6080 N. Oak, Oakview Medical Building, Gladstone, MO 64118 Phone: 816-454-2020 Fax: 816-453-2659 |