NPI | 1225060718 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM COLBY STEWART Owner/Ophthalmologist 865-966-9182 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000028149) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN OD0000002499) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-05-26 |