| NPI | 1073503298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A. GRAYSON Administrator 423-870-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2011-03-14 |