| NPI | 1801927546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN KEITH President 423-283-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN T1320) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN T1679) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-09-03 |