| NPI | 1457486375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFFIE J MOCK Doctor 913-451-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1275) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1577) |
| 152W00000X Optometrist (Licence: KS 1259-2) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-08-12 |