Individual
DR. JOHN J. KONOPIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005019551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269620
GROUP HEALTH PLAN
—
01
—
282286
HEALTHLINK
—
05
—
317344802
—
MO
05
—
317344810
—
MO
01
—
60266
HEALTHCARE USA
MO
01
—
MO9551
EYEMED
—
01
—
P00403021
RR MEDICARE
MO
Enumeration date
03/08/2006
Last updated
04/21/2017
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