Organization
CARONDELET EYE CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PATRICK DONNELLY M.D. (OWNER/PHYSICIAN)
(816) 942-8333
Entity
Organization
Contact information
Practice address
1004 CARONDELET DR, SUITE 400, KANSAS CITY, MO 64114-4802
(816) 942-8333
(816) 942-6663
Mailing address
1004 CARONDELET DR, SUITE 400, KANSAS CITY, MO 64114-4802
(816) 942-8333
(816) 942-6663
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06931011
BS/BC GROUP PROVIDER #
—
01
—
2709443
AETNA HMO PROVIDER #
—
01
—
4495112
AETNA PPO PROVIDER #
—
01
—
CS2526
RAILROAD MEDICARE GROUP #
—
Enumeration date
07/27/2006
Last updated
08/22/2020
Update your record
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