| NPI | 1154687291 |
|---|---|
| Doing Business As | PROFESSIONAL EYECARE FOUNTAINS |
| Entity Type | Organization |
| Authorized Contact | DENISE L. ROYER Manager 816-854-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-06-20 |