| NPI | 1104085463 |
|---|---|
| Doing Business As | FOUNTAIN CITY EYECARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN D. ELLIOTT Optomestrist/Owner 865-689-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2347) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2009-10-01 |