| NPI | 1811436710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE M MOSIER ESLIT Part Owner/O PT Ometrist 785-410-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2027) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1986) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-07-21 |