NPI | 1184976102 |
---|---|
Entity Type | Organization |
Authorized Contact | GENE HARMAN Owner 615-373-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 513OD) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2926OD) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2012-10-15 |