Orson, David E

Orson, David E is an individual health care provider with primary practice located at 3536 Sw Market St , Lees Summit MO 64082-2327. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Orson, David E can be contacted via phone (816) 537-0011.

Contact Information

Primary practice address
3536 Sw Market St Lees Summit MO 64082-2327
Fax: (816) 537-0402
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO3192 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1439 Kansas

Profile Details

NPI number 1043290562
LBN Legal business name Orson, David E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 5th, 2010 - about 16 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 1043290562 NPPES
Missouri MEDICAID 313833626

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