| NPI | 1033254289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY DAWN LYNCH Billing 931-528-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN T1567) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD024999) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-03-30 |