| NPI | 1598942401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER E. STEFFY Insurance Clerk 615-824-5486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN TN0661) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN TN0661) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2012-08-06 |