| NPI | 1740473669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A KELSEY Owner/Optician 785-827-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |