NPI 1003979816

Michael J Hawk, OD

Practitioner Optometrist Independence, MO

Practice location

Address: 18931 E Valley View Pkwy Suite H, Independence, MO 64055-7012
Phone: (816) 795-8884
Fax: (816) 795-8935
Mailing address: 5207 NE 91st St, Kansas City, MO 64156-6339

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2004004593 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1003979816
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2006
Record last updated: 9 Mar 2022

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.