Organization
BONNIE SHUBERT OD LLC
Active
Other names
BONNIE SHUBERT OD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SHUBERT LARGE OD (OWNER)
(913) 669-6665
Entity
Organization
Contact information
Practice address
5110 N OAK TRFY, KANSAS CITY, MO 64118-4621
(816) 459-7633
(816) 454-0681
Mailing address
14509 ROBINSON ST, OVERLAND PARK, KS 66223-1236
(913) 669-6665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI
1538190400
KS
Enumeration date
01/10/2019
Last updated
05/09/2023
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