NPI | 1174718084 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON L SANDERS Optometrist 615-907-2030 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN tn0000002569) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2011-06-17 |