IndividualActive
Anthony Dewilde, O.D.
NPI 1366637977 · Optometrist · Belton, MO
Provider details
- NPI number
- 1366637977
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2007024168 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
101 Apple Valley Pkwy
Belton, MO 64012-4725
Phone: (816) 331-9590
Fax: (816) 331-9591
Approximate (ZIP-level) locationGet directions
Mailing address
101 Apple Valley Pkwy
Belton, MO 64012-4725
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2011-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.