NPI | 1023023496 |
---|---|
Doing Business As | ENVISION EYECARE |
Entity Type | Organization |
Authorized Contact | JOSHUA CLYDE CANTRELL Executive Member 816-246-7779 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2003000960) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2008-07-01 |