Active NPI
Bennett Eyecare Midwest, LLC
- Optometrist
- Cameron, MO
National Provider Identifier
1881175669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BENNETT EYECARE MIDWEST, LLC
- Practice address
- 201 E 3Rd St
Cameron, MO 64429-1706 - Phone
- (816) 632-7979
- NPI assigned
- Aug 28, 2018
- Last updated
- Aug 28, 2018
- Organization subpart
- Yes
- Parent organization
- BENNETT EYECARE MIDWEST, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abbie Rondeau
- Title
- Owner, Partner
- Phone
- (816) 858-2522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
201 E 3Rd St
Cameron, MO 64429-1706
Mailing address
2441 NW Prairie View Rd
Platte City, MO 64079-7627
Phone (816) 858-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190311002820 | MO | DME Supplier - Physician - Optometrist | 5890840185 | Practice locations: Cameron, MO |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Bennett Eyecare Midwest LLC
- Part of
- Bennett Eyecare Midwest LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Gladstone, MO
- NPI 1578598041
-
- Optometrist
- Kearney, MO
- NPI 1770363756
-
- Optometrist
- Liberty, MO
- NPI 1134372873
-
- Optometrist
- Platte City, MO
- NPI 1396997821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535414400000",
"number": "1881175669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 NW PRAIRIE VIEW RD",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640797627",
"telephone_number": "816-858-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 3RD ST",
"city": "CAMERON",
"state": "MO",
"postal_code": "644291706",
"telephone_number": "816-632-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT EYECARE MIDWEST, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BENNETT EYECARE MIDWEST, LLC",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A",
"authorized_official_last_name": "RONDEAU",
"authorized_official_first_name": "ABBIE",
"authorized_official_title_or_position": "OWNER, PARTNER",
"authorized_official_telephone_number": "816-858-2522"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.