| NPI | 1134838824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. SCOTT HICKMAN Medical Director 785-424-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-07-26 |