| NPI | 1508260639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL DAWN BARTON O PT Ometrist/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 |