| NPI | 1366895922 |
|---|---|
| Former Legal Business Name | DRS TODD GIANNETTI & RALSTON EYECARE OF ANDOVER, LLC |
| Entity Type | Organization |
| Authorized Contact | JACE P GIANNETTI Owner/Secretary 316-775-6341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1869) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-06-13 |