Bartels, William Zachery

Bartels, William Zachery is an individual health care provider with primary practice located at 3041 S Kimbrough Ave , Springfield MO 65807-4856. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bartels, William Zachery can be contacted via phone (417) 470-3937.

Contact Information

Primary practice address
3041 S Kimbrough Ave Springfield MO 65807-4856
Phone: (417) 470-3937
Fax: (417) 470-3938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2015011922 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 046009703 Illinois

Profile Details

NPI number 1689650947
LBN Legal business name Bartels, William Zachery
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689650947 NPPES
Iowa Other 0740183 GROUP IA MEDICAID #
Iowa Other 977130 GROUP IA MEDICAID #
Iowa MEDICAID 0443796 GROUP IA MEDICAID #
Iowa MEDICAID 1689350947 GROUP IA MEDICAID #
Iowa MEDICAID 046009703 GROUP IA MEDICAID #
Iowa Other 26568 GROUP IA MEDICAID #

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