| NPI | 1205961919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FREDRICK MCBRATNEY Owner 913-299-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: KS 999800000001183) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |