Provider Demographics
NPI:1497364210
Name:STEVEN BARTHOLOMEW OD LLC
Entity Type:Organization
Organization Name:STEVEN BARTHOLOMEW OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:417-840-0245
Mailing Address - Street 1:2813 W 131ST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1919
Mailing Address - Country:US
Mailing Address - Phone:417-840-0245
Mailing Address - Fax:417-777-6917
Practice Address - Street 1:2451 S SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-9123
Practice Address - Country:US
Practice Address - Phone:417-777-7662
Practice Address - Fax:417-777-6917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty