Provider Demographics
NPI:1437356367
Name:ROBERT A. STURGES, O.D., P.C.
Entity Type:Organization
Organization Name:ROBERT A. STURGES, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:STURGES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:816-252-5211
Mailing Address - Street 1:13905 E 39TH ST S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-3325
Mailing Address - Country:US
Mailing Address - Phone:816-252-5211
Mailing Address - Fax:
Practice Address - Street 1:13905 E 39TH ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-3325
Practice Address - Country:US
Practice Address - Phone:816-252-5211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2238152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOS220000Medicare ID - Type Unspecified
MO5796890001Medicare NSC
MOT78493Medicare UPIN