Provider Demographics
NPI:1770553380
Name:STURGES, ROBERT A (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:STURGES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 NW STONECREST CT
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-1705
Mailing Address - Country:US
Mailing Address - Phone:816-229-1982
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:816-252-1025
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2238152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT78493Medicare UPIN
MOS220759Medicare ID - Type Unspecified