| NPI | 1497840565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D GORDON President 316-684-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 10462 Michael D Gord) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |