| NPI | 1386164697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED ROY ROBERTS Business Owner/Provider 316-681-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1201-3) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |