NPI 1104837640 · live from the CMS NPI Registry
Ramona L Baumfalk, OD
Optometrist in Kansas City, MO. National Provider Identifier 1104837640, active.
NPI record
| NPI | 1104837640 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4320 Wornall Rd, Suite 220, Kansas City, MO 64111 |
| Practice phone | 913-261-2020 |
| Mailing address | 11261 Nall Ave, Leawood, KS 66211 |
| Enumerated | August 10, 2006 |
| Last updated | July 8, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1801 (KS) |
| Optometrist primary | 152W00000X | 20080008323 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.