| NPI | 1114931052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KELLY Member, Board Of Managers 615-345-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-08-12 |