Individual
DR. WILLIAM ZACHERY BARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3041 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-4856
(417) 470-3937
(417) 470-3938
Mailing address
3041 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-4856
(417) 470-3937
(417) 470-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009703
IL
152W00000X
Optometrist
Primary
2015011922
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443796
—
IA
05
—
046009703
—
IL
01
—
0740183
GROUP IA MEDICAID #
IA
05
—
1689350947
—
MO
01
—
26568
IA GROUP MEDICARE #
IA
01
—
977130
IL GROUP MEDICARE #
IL
Enumeration date
12/19/2005
Last updated
04/30/2024
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