| NPI | 1346451598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PHILIP LAURIE Owner 816-522-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-08-22 |