NPI | 1295293140 |
---|---|
Doing Business As | KEY-WHITMAN OPTICAL |
Doing Business As | KEY WHITMAN EYE CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-03-11 |
Last Update Date | 2024-02-09 |