| NPI | 1962669291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY COPELAND Optometrist/Owner 620-356-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KS 1026-3) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-11-25 |