| NPI | 1124299383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM K FOOTE Office Manager / Dr.'S Assistant 731-554-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD0000001095) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2009-04-01 |