| NPI | 1770752057 |
|---|---|
| Doing Business As | EYEDENTITY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM YOUNG CUTHBERTSON President 615-791-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN ODT1162) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2014-08-19 |