| NPI | 1093337503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND K MAYS CEO 931-456-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2021-04-26 |