| NPI | 1194140285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PAUL WILHITE Optometrist/Owner 615-653-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1635-669T) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2015-02-23 |