| NPI | 1023288776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN MCMILLIAN Doctor/Owner 901-840-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN ODT1601) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2024-02-23 |