| NPI | 1760500821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P LUNSFORD Office Manager 615-373-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD0000001488) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-19 |