NPI | 1619004280 |
---|---|
Doing Business As | CUSTOM EYES |
Entity Type | Organization |
Authorized Contact | SCOTT ADRIAN DRAKE Owner 816-524-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO TO2926) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-01-09 |