Individual
DR. BRUCE ALLEN KATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1229 E SEMINOLE ST, 1ST FLOOR, SPRINGFIELD, MO 65804-2227
(417) 820-9393
(417) 820-9725
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 820-4316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12392
KS
152W00000X
Optometrist
Primary
2008-026019
MO
152W00000X
Optometrist
2008026019
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651176
BCBS LEGACY NUMBER
KS
Enumeration date
08/18/2005
Last updated
05/24/2011
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