NPI 1003848615

Patrick Glade Whitworth, OD

Practitioner Optometrist Independence, MO

Practice location

Address: 19045 E Valley View Pkwy, Independence, MO 64055-7030
Phone: (816) 795-7777
Fax: (816) 795-1290
Mailing address: 19045 E Valley View Pkwy Suite a, Independence, MO 64055-7030

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TO3371 (MO)

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Registry record

NPI: 1003848615
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2006
Record last updated: 27 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.