| NPI | 1316102726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRIS PEDERSEN Office Manager 316-712-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-09-25 |