| NPI | 1306966692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA B. FENN Owner 615-226-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN 352) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-12-07 |