| NPI | 1285235358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRAYA PAKSIN-HALL Od/President 316-208-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-13 |