| NPI | 1053599522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT CHANDLER HENDERSON General Partner 913-261-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1779) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1795) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-09-23 |