Individual
ROBERT K HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4405 NE COURTNEY DR, LEES SUMMIT, MO 64064-1642
(626) 644-8443
Mailing address
4405 NE COURTNEY DR, LEES SUMMIT, MO 64064-1642
(626) 644-8443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2013040186
MO
152W00000X
Optometrist
7816 TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013040186
MISSOURI
MO
01
—
7816 TPG
CALIFORNIA
CA
Enumeration date
03/21/2007
Last updated
10/22/2015
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