NPI 1326107350 · live from the CMS NPI Registry
Robert M. Broaddus, O.D.
Optometrist in Olathe, KS. National Provider Identifier 1326107350, active.
NPI record
| NPI | 1326107350 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 13839 S Mur Len Rd Ste A, Olathe, KS 66062 |
| Practice phone | 913-782-5993 |
| Enumerated | December 6, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1591 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.