DR. ALFRED LEO BREITENSTEIN JR. (NPI# 1811060809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811060809 |
| Entity Type | Individual |
| Full Name | DR. ALFRED LEO BREITENSTEIN JR. |
| Credential | O.D. |
| Practice Address |
10203 E Us Highway 24 Independence MO 64053-1533 |
| Practice Telephone | 8162529222 |
| Practice Fax Number | 8162529439 |
| Mailing Telephone | 8162529222 |
| Mailing Fax Number | 8162529439 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02321 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 310207501 | 05 |
| Street Address |
10203 E US HIGHWAY 24 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64053-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396072773 | Mischelle R Kemp | Nurse Practitioner | 606 S Hardy Ave, Independence, MO 64053-1827 | 2009-11-05 |
| 1326450032 | Bailey Elise Roberts Patton | Family Medicine | 606 S Hardy Ave, Independence, MO 64053-1827 | 2014-05-29 |
| 1265998892 | Rachel Lyn Revels | Physical Therapy Assistant | 809 S Huttig Ave, Independence, MO 64053-1833 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173546 | Judith Mary Topola | Community Health Worker | 6594 Wood Avene, Independence, OH 44131-4413 | 2020-10-29 |
| 1841890738 | Always Loving Home Care, LLC | Home Health | 7264 Forestwood Dr, Independence, OH 44131-5259 | 2020-10-29 |
| 1841890829 | Brettneka Cyprain | Social Worker | 16324 School Rd, Independence, LA 70443-2022 | 2020-10-28 |
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1083213375 | Suzanna Steen | Dietitian, Registered | 2680 County Road 90, Independence, MN 55359-9764 | 2020-10-19 |
| 1700484748 | Karen Sacco | Homemaker | 7330 Hillside Rd, Independence, OH 44131-5413 | 2020-10-13 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1609483296 | Chinique Care LLC | Day Training, Developmentally Disabled Services | 13905 E 39th St S Ste 105, Independence, MO 64055-3378 | 2020-09-28 |
| Find all providers in INDEPENDENCE | ||||
| 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 |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1376003673 | Shannon Elizabeth Cummings | Optometrist | 4801 S Cliff Ave Ste 100, Independence, MO 64055-6954 | 2019-03-22 |
| 1013381342 | Sawyer Vision Holdings LLC | Optometrist | 1131 Laurelwood Ln, Independence, KY 41051-9064 | 2015-11-24 |
| 1154663037 | Michael Wade Klein | Optometrist | 4741 S Cochise Drvie, Independence, MO 64055 | 2013-03-19 |
| 1952686255 | Insight Eyecare Specialties Inc | Optometrist | 19045 East Valley View Parkway, Suite A, Independence, MO 64055-9942 | 2011-10-18 |
| 1447575352 | Tiffany N. Tiller | Optometrist | 18777 E 39th St S, Sears Optical, Independence, MO 64057-1708 | 2010-04-02 |
| 1861620999 | Erin Michele Mills | Optometrist | 19040 E Valley View Parkway, Independence, MO 64055 | 2009-06-26 |
| 1437317369 | Novack Optometry Inc | Optometrist | 19049 East Valley View Pkwy, Suite G, Independence, MO 64055 | 2008-05-28 |
| 1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64053 |
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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.