| NPI | 1114031028 |
|---|---|
| Doing Business As | PRAIRIE WIND EYECARE |
| Entity Type | Organization |
| Authorized Contact | VIRGIL J ALDRIDGE Admin 785-421-3406 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-03-09 |