| NPI | 1588855225 |
|---|---|
| Doing Business As | DISTEFANO EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN MESERVE Office Manager 423-648-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN MD14067) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2012-10-03 |