Organization
VISION SOURCE OF LIBERAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D GRAHAM OD (OPTOMETRIST)
(620) 624-3841
Entity
Organization
Contact information
Practice address
621 E STEVENS ST, ELKHART, KS 67950-7709
(620) 697-1244
(620) 697-4197
Mailing address
2136 N KANSAS AVE, LIBERAL, KS 67901-2012
(620) 624-3841
(620) 624-3841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1366-3
KS
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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