NPI | 1598955999 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY W ANDERSON Owner 931-728-1315 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-07-31 |
Last Update Date | 2007-09-25 |