| NPI | 1235263161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L WALDIE Owner 316-729-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1659) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 10533) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-10-31 |