| NPI | 1518849728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |