| NPI | 1144267287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA D HEAFNER Admin/Credentialing Specialist 816-524-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02710) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-06-18 |