| NPI | 1619920576 |
|---|---|
| Doing Business As | EYECARE SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | JASON S. LAKE Delegated Official 660-747-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO TO3409) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-04-08 |