| NPI | 1326344599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES METZGER Optometrist 913-469-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: KS 1105-3) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-00652) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |