| NPI | 1699136358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY L HINER Administrator 316-283-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-07-21 |