| NPI | 1235642620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DUANE AYRE Optometrist 620-285-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS KS1472) |
| 152W00000X Optometrist (Licence: KS Ks2060) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-27 |