| NPI | 1730436460 |
|---|---|
| Other Name | PAWNEE |
| Entity Type | Organization |
| Authorized Contact | MEGAN BALDWIN Optometrist 316-263-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1889) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |