DR. KURT JACOB BENNETT (NPI# 1851720429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851720429 |
| Entity Type | Individual |
| Full Name | DR. KURT JACOB BENNETT |
| Credential | O.D |
| Practice Address |
14428 White Birch Valley Ln Chesterfield MO 63017-2416 |
| Practice Telephone | 8126069500 |
| Mailing Telephone | 8126069500 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2013032691 | MO | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | TA2391 | MD | Eye and Vision Services Providers |
| Street Address |
14428 WHITE BIRCH VALLEY LN |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1598385247 | Sarah Ellison | Optometrist | 50940 Gratiot Ave, Chesterfield, MI 48051-3134 | 2020-04-23 |
| 1225411358 | Sylvester Cobbina | Optometrist | 15206 Clearwater Trl, Apt 305, Chesterfield, VA 23832-2911 | 2015-07-07 |
| 1063758548 | Eye Care Charity of Mid-america | Optometrist | 732 Goddard Ave, Chesterfield, MO 63005-1100 | 2013-01-02 |
| 1164735338 | Inderpreet Kaur Datta | Optometrist | 9440 Iron Bridge Rd, Chesterfield, VA 23832-6601 | 2010-07-16 |
| 1932331295 | Desiree A.j. Ratzenberger | Optometrist | 50753 Waterside Dr, Chesterfield, MI 48051-4008 | 2009-08-19 |
| 1730321548 | Clarkson Optometry Inc | Optometrist | 1028 Town and Country Crossing Dr, Chesterfield, MO 63017-0610 | 2009-03-26 |
| 1871662098 | Valley Vision | Optometrist | 703 Long Road Crossing Dr, #5, Chesterfield, MO 63005 | 2006-11-06 |
| 1871681346 | Steven Marc Goldberg | Optometrist | 14314 Cobble Ct, Chesterfield, MO 63017-2823 | 2006-10-10 |
| 1053427104 | Thomas Joseph Cunningham | Optometrist | 92 Chesterfield Mall, Chesterfield, MO 63017-4808 | 2006-08-22 |
| 1154338481 | Frank Wasserman | Optometrist | 36 Four Seasons, #202, Chesterfield, MO 63017 | 2006-08-01 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.