Ryan J Broyles (NPI# 1750548871, PAC ID# 5799838496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1750548871 |
| PAC ID by PECOS | 5799838496 |
| Professional Enrollment ID | I20090728000630 |
| Full Name | Ryan J Broyles |
| Organization Legal Name | BENNETT EYECARE MIDWEST, LLC |
| Address |
2441 Nw Prairie View Rd Platte City MO 64079-7627 |
| Phone Number | 8168582522 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5890840185 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6080 N Oak Trfy, Gladstone, MO 64118-5165 | 8164542020 | BENNETT EYECARE MIDWEST, LLC |
| 2441 Nw Prairie View Rd, Platte City, MO 64079-7627 | 8168582522 | BENNETT EYECARE MIDWEST, LLC |
| Organization Legal Name | BENNETT EYECARE MIDWEST, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystal W Rogge | Optometry | Bennett Eyecare Midwest, LLC | 1504 N Church Rd, Liberty, MO 64068-7129 |
| Matthew Bednar | Optometry | Bennett Eyecare Midwest, LLC | 6080 N Oak Trfy, Gladstone, MO 64118-5165 |
| David Tischinski | Optometry | Bennett Eyecare Midwest, LLC | 1504 N Church Rd, Liberty, MO 64068-7129 |
| David Scott Fritz | Optometry | Bennett Eyecare Midwest, LLC | 1504 N Church Rd, Liberty, MO 64068-7129 |
| Abbie N Rondeau Nelson | Optometry | Bennett Eyecare Midwest, LLC | 2441 Nw Prairie View Rd, Platte City, MO 64079-7627 |
| Street Address |
2441 NW PRAIRIE VIEW RD |
| City | PLATTE CITY |
| State | MO |
| Zip | 64079-7627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abbie N Rondeau Nelson | Optometry | Bennett Eyecare Midwest, LLC | 2441 Nw Prairie View Rd, Platte City, MO 64079-7627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara E Roediger | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 1301 Platte Falls Rd, Platte City, MO 64079-7334 |
| Jessica A Searing | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 1301 Platte Falls Rd, Platte City, MO 64079-7334 |
| Janice Gladman | Nurse Practitioner | Meritas Health Corporation | 2600 Running Horse Rd, Platte City, MO 64079-7623 |
| Omar Villanueva | Family Medicine | Meritas Health Corporation | 2600 Running Horse Rd, Platte City, MO 64079-7623 |
| Russell Stewart Yocum | Family Medicine | Meritas Health Corporation | 2600 Running Horse Rd, Platte City, MO 64079-7623 |
| Carl Mack Myers | Family Medicine | Meritas Health Corporation | 2600 Running Horse Rd, Platte City, MO 64079-7623 |
| Michelle Ann Stone | Family Medicine | Saint Lukes Physician Group Inc | 2703 Running Horse Rd, Platte City, MO 64079-7707 |
| Abigail L Kidwell | Nurse Practitioner | Saint Lukes Physician Group Inc | 2703 Running Horse Rd, Platte City, MO 64079-7707 |
| Matthew W Craine | Physical Therapy | Saint Lukes Neighborhood Clinics LLC | 2703 Running Horse Rd, Platte City, MO 64079-7707 |
| Adam W Yoder | Physical Therapy | Saint Lukes Neighborhood Clinics LLC | 2703 Running Horse Rd, Platte City, MO 64079-7707 |
| Find all physicians in zip 64079 | |||
| City | PLATTE CITY |
| Zip Code | 64079 |
| Specialty | OPTOMETRY |
| City + Specialty | PLATTE CITY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.