| NPI | 1619150984 |
|---|---|
| Former Legal Business Name | MATTHEW T. STANLEY, O.D., P.A. |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T STANLEY President 785-776-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1757) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: KS 1757) |
| 152WP0200X Optometrist, Pediatrics (Licence: KS 1776) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2020-03-23 |