NPI 1083741631

Specs

Organisation Eyewear Supplier El Dorado, KS

Practice location

Address: 2348 West Central, El Dorado, KS 67042
Phone: (316) 320-9680

Authorised official

Name: Monte Ysidro
Title: Owner
Phone: (316) 320-9680

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Kansas →

Registry record

NPI: 1083741631
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.