BENNETT EYECARE MIDWEST, LLC (NPI# 1134372873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134372873 |
| Entity Type | Organization |
| Organization Name | BENNETT EYECARE MIDWEST, LLC |
| Practice Address |
1504 N Church Rd Ste C Liberty MO 64068-7163 |
| Mailing Address |
2441 Nw Prairie View Rd Platte City MO 64079-7627 |
| Practice Telephone | 8167813442 |
| Practice Fax Number | 8164159743 |
| Mailing Telephone | 8168582522 |
| Mailing Fax Number | 8168582946 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | DR. ABBIE NELL RONDEAU (CREDENTIALING OFFICER) |
| Authorized Official Telephone | 8168582522 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENNETT EYECARE MIDWEST, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 318693827 | 05 | |
| NPI | 1407839756 | 01 | |
| MO | 505840207 | 05 | |
| NPI | 1528041860 | 01 | |
| MO | 312478241 | 05 | |
| MO | 316013606 | 05 | |
| NPI | 1811159361 | 01 | |
| MO | 535840201 | 05 | |
| MO | NPI | 1669455747 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346492865 | Bennett Eyecare Midwest, LLC | Optometrist | 6080 N Oak Trwy, Suite 101, Gladstone, MO 64118-5100 | 2008-10-15 |
| 1396997821 | Bennett Eyecare Midwest, LLC | Optometrist | 2441 Nw Prairie View Rd, Platte City, MO 64079-7627 | 2008-10-15 |
| 1881175669 | Bennett Eyecare Midwest, LLC | Optometrist | 201 E 3rd St, Cameron, MO 64429-1706 | 2018-08-28 |
| 1679818389 | Bennett Eyecare Midwest, LLC | Optometrist | 3417 Nw Mill Dr, Blue Springs, MO 64015-3257 | 2012-12-06 |
| Street Address |
1504 N CHURCH RD STE C |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528320959 | Jessica R Nichols | Optometrist | 1528 Ne 96th St, Suite #a, Liberty, MO 64068-1364 | 2012-06-12 |
| 1437284890 | Svs Vision Inc | Optometrist | 118f Conistor, Liberty, MO 64068-1909 | 2007-02-23 |
| 1790884369 | Allen R. Griffin | Optometrist | 2718b N Main St, Liberty, TX 77575-3909 | 2006-09-21 |
| 1104937804 | John William Richards Od | Optometrist | 42 Westwoods Dr, Liberty, MO 64068 | 2006-08-31 |
| 1841224987 | Timothy John Smith | Optometrist | 112a Westwoods Dr, Liberty, MO 64068-1181 | 2006-07-11 |
| 1174563274 | Mcknight Eye Centers, PC | Optometrist | 515 N State Route 291, Liberty, MO 64068-1045 | 2006-06-07 |
| 1285680033 | Faresh Mehta | Optometrist | 2121 Hwy 146 Bypass, Liberty, TX 77575 | 2006-05-25 |
| 1184621005 | Melanie Lynn Linderer | Optometrist | 15 W Franklin St, Liberty, MO 64068-1636 | 2005-07-07 |
| 1205832649 | Berkeley Eye Liberty, Lp | Optometrist | 811 N Travis St, Liberty, TX 77575-3531 | 2005-06-21 |
| 1871071456 | J.e.a. Wegener Inc | Optometrist | 42 Westwoods Dr, Liberty, MO 64068 | 2018-08-05 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.