NPI | 1316257751 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP DANIEL HAYES Sole Member/Owner 615-788-9775 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2921) |
Enumeration Date | 2010-10-19 |
Last Update Date | 2010-10-19 |