NPI 1295208338 · live from the CMS NPI Registry
Bonnie Shubert OD LLC
Optometrist in Kansas City, MO. National Provider Identifier 1295208338, active.
NPI record
| NPI | 1295208338 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 5110 N Oak Trfy, Kansas City, MO 64118 |
| Practice phone | 816-459-7633 |
| Mailing address | 14509 Robinson St, Overland Park, KS 66223 |
| Enumerated | January 10, 2019 |
| Last updated | May 9, 2023 |
| Authorized official | Bonnie Large, Owner |
| Other names | Bonnie Shubert OD LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.