| NPI | 1134664147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN RODRIGUEZ MOORE Business Owner 865-409-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD0000002179) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2025-04-03 |