Steven Bartholomew OD LLC
Organization Active NPI Optometrist · Bolivar, MO
NPI 1497364210 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1497364210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- STEVEN BARTHOLOMEW OD LLC
- Practice address
- 2451 S Springfield Ave
Bolivar, MO 65613-9123 - Phone
- (417) 777-7662
- Fax
- (417) 777-6917
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven B Bartholomew, OD
- Title
- Owner
- Phone
- (417) 840-0245
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201005000922 | MO | Part B Supplier - Clinic/Group Practice | 6406275882 |
Receives reassigned benefits from 1 practitioner Practice locations: Bolivar, MO; Branson West, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2451 S Springfield Ave
Bolivar, MO 65613-9123
Mailing address
2813 W 131St St Ste 200
Leawood, KS 66209-1919
Phone (417) 840-0245
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.