| NPI | 1669505939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI KRESS Office Manager 423-542-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: TN 0710) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-04-15 |