NPI | 1689722324 |
---|---|
Doing Business As | SUMMIT LAKES EYE CARE |
Entity Type | Organization |
Authorized Contact | JOHN L. COTTLE CEO 816-623-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 20151442) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2015-08-12 |