| NPI | 1437338662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY J NELSON Optometrist/Owner 785-562-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KS 1124-3) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |