| NPI | 1912290263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE A BETTERTON Practice Manager 816-792-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |