| NPI | 1578773263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. BONNER President 423-332-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000028919) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN 28919) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-01-20 |