| NPI | 1326816570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH MINH TRINH President 615-896-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| 156FX1201X Technician/Technologist Optometric Assistant | |
| 156FX1202X Technician/Technologist Optometric Technician | |
| 152WC0802X Optometrist Corneal and Contact Management | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-01-08 |