NPI | 1992867816 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT F TOBIN Medical Director 816-279-1363 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NE 8390142) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2008-04-20 |