| NPI | 1629144662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NORTON Owner 423-638-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN DPO0000000120) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |