| NPI | 1477721256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS DANIEL PAGANO Partner 901-761-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN 294) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-03-18 |