| NPI | 1699961631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B DUVALL Manager 865-982-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TN ODT694) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2024-07-31 |