| NPI | 1770828410 |
|---|---|
| Former Legal Business Name | KC VISION CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JAYME R FOSE Owner/O PT Ometrist 913-681-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2007035557) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-10-17 |