Organization
NORTHLAND OPTICAL CENTER, LLC
Active
Parent organization
NORTHLAND EYE SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND EYE SPECIALISTS
Authorized official
GRACE A BETTERTON (PRACTICE MANAGER)
(816) 792-1900
Entity
Organization
Contact information
Practice address
1200 LANDMARK AVE, LIBERTY, MO 64068-1051
(816) 792-1900
(816) 792-3548
Mailing address
1200 LANDMARK AVE, LIBERTY, MO 64068-1051
(816) 792-1900
(816) 792-3548
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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