| NPI | 1871779520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR G RIOS Owner 316-522-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |