NPI | 1265581771 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON J BOWSER Office Manager 785-364-4183 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1556) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1146-3) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2008-08-27 |