Organization
BENNETT EYECARE MIDWEST, LLC
Active
Parent organization
BENNETT EYECARE MIDWEST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENNETT EYECARE MIDWEST, LLC
Authorized official
DR. MATTHEW BEDNAR O.D. (PARTNER)
(816) 454-2020
Entity
Organization
Contact information
Practice address
6080 N OAK TRWY, SUITE 101, GLADSTONE, MO 64118-5100
(816) 454-2020
(816) 453-2659
Mailing address
2441 NW PRAIRIE VIEW RD., SUITE A, PLATTE CITY, MO 64079-7608
(816) 858-2522
(816) 858-2946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505840207
—
MO
Enumeration date
10/15/2008
Last updated
12/27/2011
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