| NPI | 1932330297 |
|---|---|
| Doing Business As | INNOVATIVE EYECARE |
| Entity Type | Organization |
| Authorized Contact | TERESA ANN LARCOM Optometrist/Owner 816-444-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO TO3126) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |