| NPI | 1578598041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBIE N RONDEAU Credentialing Officer 816-858-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02633) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-12-15 |