| NPI | 1982873279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE ANN GARRISON Assistant 785-625-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KS 11693) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2024-04-05 |