| NPI | 1285728196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALLEN PHILLIPS CEO 816-795-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2002015841) |
| 152W00000X Optometrist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-08-18 |