Herriott, Douglas Gerard
Herriott, Douglas Gerard is an individual health care provider with primary practice located at 221 Nw Mcnary Ct , Lees Summit MO 64086-4011. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Herriott, Douglas Gerard can be contacted via phone (816) 524-8900.Contact Information
Primary practice address
221 Nw Mcnary Ct
Lees Summit MO 64086-4011
Phone: (816) 524-8900
Fax: (816) 525-2042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3842-35 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TPOP132 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | I5-0000006 | Delaware |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T-02668 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1194-2 | Kansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3889 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1634 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 13504640-9934 | Utah |
Profile Details
| NPI number | 1700885860 |
|---|---|
| LBN Legal business name | Herriott, Douglas Gerard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Feb 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700885860 | NPPES |
| Kansas | Other | 410020656 | RAILROAD MEDICARE |
| Kansas | Other | 650867 | RAILROAD MEDICARE |
| Kansas | Other | P00830624 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 100218090B | RAILROAD MEDICARE |
| Kansas | Other | 13233011 | RAILROAD MEDICARE |
| Kansas | Other | 410038120 | RAILROAD MEDICARE |
| Kansas | Other | 5797074B | RAILROAD MEDICARE |
| Kansas | MEDICAID | 100218090A | RAILROAD MEDICARE |
| Kansas | Other | KA1721001 | RAILROAD MEDICARE |
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