NPI | 1285095125 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN CHRISTOPHER MILES Doctor/Owner 816-753-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2005017513) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2016-04-08 |