| NPI | 1871867416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA SANDALL Member 316-440-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: KS 1723) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-03-20 |