| NPI | 1467760173 |
|---|---|
| Doing Business As | ADVANCED EYECARE SOUTH |
| Entity Type | Organization |
| Authorized Contact | RICHARD C WILSON Owner 816-353-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-04-15 |