| NPI | 1831603307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BUNDE O PT Ometrist 913-491-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| 156F00000X Technician/Technologist | |
| 156FC0800X Technician/Technologist Contact Lens | |
| 156FX1202X Technician/Technologist Optometric Technician | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2022-08-04 |