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NPI Code Detail

MEDICARE: DR. ROBERT C BUTCHER OD

MEDICARE: DR. ROBERT C BUTCHER OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristT03054MO
2152W00000XOptometrist1448KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410044605OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1952394223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT C BUTCHER OD
Provider Business Mailing Address
First Line : 4801 S CLIFF AVE
Second Line : SUITE 100
City : INDEPENDENCE
State : MO
Zip : 64055-7015
Country : US
Telephone Number : 816-478-1230
Fax Number : 816-478-4413
Provider Business Practice Location Address
First Line : 9401 N OAK TRFY
Second Line : DISCOVER VISION CENTERS
City : KANSAS CITY
State : MO
Zip : 64155-2233
Country : US
Telephone Number : 816-478-1230
Fax Number : 816-350-6801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 12/06/2007

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Directions to “ DR. ROBERT C BUTCHER OD” Practice Location

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