NPI | 1316365562 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA L. EASTER Owner 620-331-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1547) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1958) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2014-04-04 |