Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bonnie Shubert Large, OD

Individual provider Optometrist · NPI 1538190400

Dr. Bonnie Shubert Large, OD is an Optometrist in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5110 N Oak Trfy
Kansas City, MO 64118-4621
Phone: (816) 459-7633
Fax: (816) 454-0681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T03392 (MO)
Optometrist Taxonomy 152W00000X · Licence 1494-3 (KS)

Record details

NPI number1538190400
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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