| NPI | 1255526406 |
|---|---|
| Doing Business As | COLLEGE BLVD VISION CARE |
| Entity Type | Organization |
| Authorized Contact | MEGAN M CONSTANS Optometrist 913-663-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1525) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1260-2) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |