Organization
STACO ENTERPRISES
Active
Other names
Eyewear Unique
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALLEN STAIMAN (PROPRIETOR)
(785) 271-7336
Entity
Organization
Contact information
Practice address
4008 SW HUNTOON, TOPEKA, KS 66604
(785) 271-7356
(785) 271-5928
Mailing address
4008 SW HUNTOON, TOPEKA, KS 66604
(785) 271-7356
(785) 271-5928
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
KS
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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