NPI | 1972782936 |
---|---|
Doing Business As | ADVENTURE VISION OF WICHITA |
Entity Type | Organization |
Authorized Contact | MICHAEL G. PHARRIS Owner 719-576-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1796) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2007-10-26 |