| NPI | 1265606412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ALLEN CHAMBERS O PT Ometrist 423-743-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2010-11-22 |