| NPI | 1598144982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J FRY O PT Ometrist 816-230-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO TO2487) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |