| NPI | 1770648016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY RAUEN Administrator 865-524-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-06-11 |