| NPI | 1932330529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN K.E. CARL Optometrist 660-826-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02658) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2004017484) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2011-01-18 |