NPI | 1215334925 |
---|---|
Doing Business As | GARDEN CITY VISION SOURCE |
Entity Type | Organization |
Authorized Contact | KRIS REIMER Owner 620-275-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1493) |
Enumeration Date | 2014-11-24 |
Last Update Date | 2020-03-04 |