| NPI | 1225212038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D WEINBERG Optometrist 901-276-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 1765, 1770, 2647) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2009-04-07 |