| NPI | 1124419957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE MARIE MOSIER ESLIT Optometrist 785-410-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1986) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: KS 1986) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: KS 1986) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: KS 1986) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: KS 1986) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2022-07-21 |