Provider Demographics
NPI:1356522551
Name:DR. RICK J. UNSELL LLC
Entity type:Organization
Organization Name:DR. RICK J. UNSELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:JON
Authorized Official - Last Name:UNSELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:816-587-7327
Mailing Address - Street 1:7436 NW RIVER PARK DR
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-5028
Mailing Address - Country:US
Mailing Address - Phone:816-587-7327
Mailing Address - Fax:816-587-7328
Practice Address - Street 1:7436 NW RIVER PARK DR
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-5028
Practice Address - Country:US
Practice Address - Phone:816-587-7327
Practice Address - Fax:816-587-7328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT02278152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y32000Medicare PIN