| NPI | 1568682425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WOMACK O PT Ometrist 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 |