| NPI | 1225043656 |
|---|---|
| Former Legal Business Name | GLASS AND ANDERSON OD PC |
| Entity Type | Organization |
| Authorized Contact | LISA M NUTT Owner 816-454-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2002014342) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02595) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-07-02 |