| NPI | 1609818913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE A COOPER Owner 913-831-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 174400000X Specialist |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-08-17 |