NPI | 1528006426 |
---|---|
Doing Business As | BLUE SPRINGS OPTICAL |
Entity Type | Organization |
Authorized Contact | RICHARD C WILSON Owner 816-353-1872 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-06-03 |
Last Update Date | 2019-04-15 |