| NPI | 1548333495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VALENTINE Manager 615-824-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN 318) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |