Healthcare Provider Details

I. General information

NPI: 1609823384
Provider Name (Legal Business Name): NASS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 08/16/2020
Certification Date: 08/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 LEWIS DR STE 114
PARKVILLE MO
64152-3699
US

IV. Provider business mailing address

6325 LEWIS DR STE 114
PARKVILLE MO
64152-3699
US

V. Phone/Fax

Practice location:
  • Phone: 816-505-0100
  • Fax: 816-505-2301
Mailing address:
  • Phone: 816-505-0100
  • Fax: 816-505-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY JOSEPH VERACHTERT
Title or Position: PRESIDENT
Credential: O.D.
Phone: 816-505-0100