NPI | 1508855859 |
---|---|
Doing Business As | MIDTOWN EYE CARE |
Entity Type | Organization |
Authorized Contact | JARED THOMAS POWELSON Owner 901-725-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN T1747) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MS 679) |
152W00000X Optometrist (Licence: MS TPA94195) | |
Enumeration Date | 2005-10-19 |
Last Update Date | 2023-05-03 |