Individual
DR. GEOFFREY RYAN HAIDON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10217 N OAK TRFY, KANSAS CITY, MO 64155-1715
(816) 476-4017
(816) 476-4017
Mailing address
19045 EAST VALLEY VIEW PARKWAY, SUITE A, INDEPENDENCE, MO 64055-9942
(816) 795-7777
(816) 795-7777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002015841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318751104
—
MO
05
—
318751112
—
MO
Enumeration date
01/12/2006
Last updated
12/29/2014
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