| NPI | 1235265901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILLARD WINSTON THAXTON Optometrist 615-297-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-04-22 |