| NPI | 1043477680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE G BRADFORD Administrator 615-446-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-06-23 |