| NPI | 1922079268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI M BRYANT Insurance Specialist 620-442-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1052-2) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1600) |
| 152W00000X Optometrist (Licence: KS 1739) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |