| NPI | 1740515444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA H WOOD Owner/O PT Ometrist 901-827-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL SB54TA775) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2010-12-30 |