Individual
DR. MATTHEW J TWARDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 S US HIGHWAY 169, SMITHVILLE, MO 64089-9321
(816) 873-0202
(816) 873-0203
Mailing address
7400 STATE LINE RD STE 202, PRAIRIE VILLAGE, KS 66208-3445
(913) 588-6605
(913) 588-6655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1932
KS
152W00000X
Optometrist
Primary
2011016150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266420 E
—
KS
Enumeration date
07/12/2010
Last updated
10/16/2023
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