| NPI | 1861519266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL CARPENTER O PT Ometrist 785-272-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1256-2) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-09-09 |