| NPI | 1790299311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ZACHERY BARTELS Owner 417-470-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2015011922) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02895) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 2015011922) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2024-04-30 |