Bennett Eyecare Midwest LLC
NPI 1578598041ActiveOrganization· Optometrist· Gladstone, MO
Optometrist in Gladstone, Missouri, registered in NPPES in July 2006, part of Bennett Eyecare Midwest LLC. The authorized official on file is Abbie N. Rondeau, OD, Credentialing Officer. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1578598041 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bennett Eyecare Midwest LLC |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Dec 15, 2022 |
| Certified by provider | Dec 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | T02633 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (MO); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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