NPI | 1508260639 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSTAL DAWN BARTON Optometrist/Owner 865-588-5601 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2033) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2014-10-17 |