| NPI | 1124546882 |
|---|---|
| Former Legal Business Name | BRIDGE HILL, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW COURY BROBERG Optometrist 816-533-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2022-07-21 |