| NPI | 1174563274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J MCKNIGHT Owner 816-781-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO MDR5G65) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T03336) |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-10-05 |