NPI | 1417127150 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANA VANZANT MONTGOMERY President/ Optometrist 423-899-2905 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN ODT1810) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2008-03-10 |