NPI | 1831603307 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BUNDE Optometrist 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 |