NPI | 1255500849 |
---|---|
Other Name | WILLIAM H. MCCONNELL, O.D. |
Entity Type | Organization |
Authorized Contact | WILLIAM H. MCCONNELL Optometrist 731-584-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TN 545) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2008-02-27 |