| NPI | 1700905239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DEE WILLIS Insurance And Billing Dept. 423-746-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN T923) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-02-15 |