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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114906625 NPPES
Missouri MEDICAID 318751112
Missouri MEDICAID 318751104

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