| NPI | 1437303948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG A MCCLURG O PT Ometrist/Owner 865-577-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TN ODT1631) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2011-08-11 |