NPI | 1295208338 |
---|---|
Doing Business As | BONNIE SHUBERT OD LLC |
Entity Type | Organization |
Authorized Contact | BONNIE SHUBERT LARGE Owner 913-669-6665 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2019-01-10 |
Last Update Date | 2023-05-09 |