Minta Susan Tate Valid NPI

Individual provider · Low Vision Rehabilitation Optometrist · Wichita, KS

NPI

1801960679

Type

Individual (Type 1)

Primary specialty

Low Vision Rehabilitation Optometrist (Optometrist)

Specialty group

Eye and Vision Services Providers

Taxonomy code

152WL0500X

License number

ACVREP 2540 (AZ)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-20

Last updated

2007-07-08