Individual
DR. CHAD OLLENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4027 MILL ST, KANSAS CITY, MO 64111-3008
(816) 561-1665
Mailing address
8616 SHADY BEND RD, LENEXA, KS 66227-3056
(913) 609-0752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2021048646
MO
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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