NPI | 1255722476 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN HENSON MEINKE Optometrist 901-826-1726 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7213T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7278T) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-02-10 |