NPI 1104970243

Ronald J Fornelli, OD

Practitioner Optometrist Blue Springs, MO

Practice location

Address: 3417 NW Mill Dr, Blue Springs, MO 64015-3257
Phone: (816) 229-3001
Fax: (816) 229-9459

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T02154 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1104970243
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 13 May 2009

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.