Bennett Eyecare Midwest, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BENNETT EYECARE MIDWEST, LLC

Practice address

6080 N Oak Trwy
Suite 101
Gladstone, MO 64118-5100

Phone

(816) 454-2020

Fax

(816) 453-2659

NPI assigned

Oct 15, 2008

Organization subpart

Yes

Parent organization

BENNETT EYECARE MIDWEST, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Bednar, O.D.NPI 1528041860

Title

Partner

Phone

(816) 454-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bennett Eyecare Midwest LLC

  • Optometrist
  • Gladstone, MO
  • NPI 1578598041

  O20100930005278

  Same enrollment

Part of

Bennett Eyecare Midwest LLC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew J Bednar, O.D.

  • Optometrist
  • Platte City, MO
  • NPI 1528041860
  NPD (past) Authorized official
• David Scott Bennett, O.D.

  • Optometrist
  • Gladstone, MO
  • NPI 1669455747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1346492865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 NW PRAIRIE VIEW RD.",
            "address_2": "SUITE A",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797608",
            "telephone_number": "816-858-2522",
            "fax_number": "816-858-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 N OAK TRWY",
            "address_2": "SUITE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185100",
            "telephone_number": "816-454-2020",
            "fax_number": "816-453-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT EYECARE MIDWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENNETT EYECARE MIDWEST, LLC",
        "enumeration_date": "2008-10-15",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "BEDNAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "816-454-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505840207",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Ball, MA LCSW
• Baron Grutter DDS LLC
• Annie Barry
• Thomas Frederick Barton, DDS
• Bennett Eyecare Midwest LLC
• David Scott Bennett, O.D.
• Best Life Therapy KC, LLC
• Rachel Bishop, PHARM.D.
• Haley Bogers, MS, CCC-SLP
• Robert Kent Boland, DDS

• All providers in Gladstone, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.