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 |