| NPI | 1164451019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CLAY TUCKER Owner And Optometrist 270-843-4082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 940DT) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-12-28 |