| NPI | 1679748149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD EUGENE MORRILL Optometrist 865-475-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN TN586) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |