Powell, Geoffrey Ryan Haidon
Powell, Geoffrey Ryan Haidon is an individual health care provider with primary practice located at 10217 N Oak Trfy , Kansas City MO 64155-1715. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Powell, Geoffrey Ryan Haidon can be contacted via phone (816) 476-4017.Contact Information
Primary practice address
10217 N Oak Trfy
Kansas City MO 64155-1715
Phone: (816) 476-4017
Fax: (816) 476-4017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2002015841 | Missouri |
Profile Details
| NPI number | 1114906625 |
|---|---|
| LBN Legal business name | Powell, Geoffrey Ryan Haidon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 29th, 2014 - about 12 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 | 1114906625 | NPPES |
| Missouri | MEDICAID | 318751112 | |
| Missouri | MEDICAID | 318751104 |
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