| NPI | 1225407158 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | STEVEN D ELLIOTT Owner/President 865-922-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN TOD2347) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |