Matthew J Bednar, O.D.
Individual provider Active NPI Optometrist · Platte City, MO
NPI 1528041860 · NPPES record last updated Jul 26, 2011
Key facts
- NPI
- 1528041860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T03186 (MO)
- Practice address
- 2441 NW Prairie View Rd Ste a
Platte City, MO 64079-7608 - Phone
- (816) 858-2522
- Fax
- (816) 858-2946
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bennett Eyecare Midwest LLC
Practice addresses (Care Compare)
6080 N Oak Trfy
Gladstone, MO 64118-5158
Phone (816) 454-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 81 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110817000751 | MO | Practitioner - Optometry | 0244385540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett Eyecare Midwest LLC | Optometrist | Current |
Accepting new patients |
| Bennett Eyecare Midwest LLC | Optometrist | Current |
Accepting new patients |
| Bennett Eyecare Midwest, LLC | Optometrist | Past | Accepting new patients |
Locations
3417 NW Mill Dr
Blue Springs, MO 64015
Phone (816) 229-3001
215 N Walnut St
Cameron, MO 64429
Phone (816) 632-7979
6080 N Oak Trfy
Ste 101
Gladstone, MO 64118
Phone (816) 454-2020
6080 N Oak Trfy
Kansas City, MO 64118
Phone (816) 221-9898
1504 N Church Rd
Liberty, MO 64068
Phone (816) 781-3442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03186 | MO | Yes |
Addresses
Primary practice location
2441 NW Prairie View Rd Ste a
Platte City, MO 64079-7608
Mailing address
2441 NW Prairie View Rd., Ste.a
Platte City, MO 64079
Phone (816) 858-2522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318693827 | Medicaid | MO |
Other providers in Platte City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.