| NPI | 1366828444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE J WEEDEN Optometrist 816-769-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2007019154) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2008018442) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |