| NPI | 1114089091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY M HARRISON Doctor Of Optometry 731-644-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN TN1677) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-27 |