| NPI | 1366577272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN C WATERMAN President Corp, Optometrist 816-781-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2003015398) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-09-08 |