NPI | 1568682425 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY WOMACK Optometrist 931-474-5506 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TN 2568) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |