NPI | 1649209586 |
---|---|
Former Legal Business Name | SHAWNEE MISSION EYE CARE |
Entity Type | Organization |
Authorized Contact | BRADLEY RAYMOND KWAPISZESKI CEO 913-362-3210 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2006-07-02 |
Last Update Date | 2021-05-06 |