| NPI | 1093075186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B DRAKE Od/Owner 615-907-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: TN 2827) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2013-02-07 |