NPI | 1477874501 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA J ELKINS Owner 931-729-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD0000001419) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN OD0000000807) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2013-06-10 |