NPI | 1558306043 |
---|---|
Entity Type | Organization |
Authorized Contact | MATHEW E TURNER President 865-637-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2310) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TN 2310) |
152WP0200X Optometrist, Pediatrics (Licence: TN 2310) | |
152WV0400X Optometrist, Vision Therapy (Licence: TN 2310) | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2008-06-18 |