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