| NPI | 1104097310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LAVERGHETTA CEO 865-474-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2023-01-16 |