| NPI | 1639360043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY W STEELMAN Ins/Billing Mgr 901-476-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 152w00000x) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2010-11-05 |