Individual
DR. ROBERT E DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 APPLE VALLEY PKWY, BELTON, MO 64012-4725
(816) 331-9590
(816) 331-9591
Mailing address
101 APPLE VALLEY PKWY, BELTON, MO 64012-4725
(816) 331-9590
(816) 331-9591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO 2309
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA2901002
MEDICARE PTAN
MO
Enumeration date
07/27/2006
Last updated
05/11/2011
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