Vision Source of Liberal INC

NPI #1447569892 in Liberal, Kansas

Provider Information

NPI Number: 1447569892
Entity Type: Organization
Organization Name: Vision Source of Liberal INC
Primary Specialty: Optometrist
Enumeration Date: Oct 4, 2010
Last Updated: Aug 19, 2013

Practice Location

Address: 2136 N. KANSAS AVE
City: Liberal
State: Kansas
ZIP Code: 67901-2136
Phone: (620) 624-3841

Authorized Official

Name: DR. STEVEN D GRAHAM, O.D.
Title: DOCTOR
Phone: (620) 624-3841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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