Individual
JOSHUA P BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4027 MILL ST, KANSAS CITY, MO 64111-3008
(816) 561-1665
Mailing address
1605 NW SUNRIDGE DR, BLUE SPRINGS, MO 64015-3536
(816) 721-8169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1735
KS
152W00000X
Optometrist
2005027604
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152W00000X
OPTOMETRY
MO
Enumeration date
10/16/2006
Last updated
03/20/2023
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