Individual
DR. WILLIAM ZACHERY BARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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