NPI | 1497772156 |
---|---|
Doing Business As | PRAIRIE WIND EYECARE |
Entity Type | Organization |
Authorized Contact | VIRGIL J ALDRIDGE Admin 785-421-3406 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-12-01 |