| NPI | 1669490579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCBRYAR Owner 901-767-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2613) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: TN 2613) |
| 152WV0400X Optometrist, Vision Therapy (Licence: TN 2613) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |