| NPI | 1174655955 |
|---|---|
| Doing Business As | STATE LINE EYE CARE CENTER OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ROLAND SABATES President 816-444-2900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-08-01 |