Whalio Doctors

NPI 1023001302

Brett T Dawson, OD

Practitioner Optometrist Independence, MO

Practice location

Address
4741 S Cochise Dr, Independence, MO 64055-6974
Phone
(816) 478-1230
Fax
(816) 478-4413
Mailing address
4801 S Cliff Ave Suite 100, Independence, MO 64055-7015

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2005015548 (MO)

Registry record

NPI
1023001302
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Aug 2005
Record last updated
6 Dec 2007

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.