| NPI | 1821125485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. KAPPERMAN President 423-892-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 001120-TNOD) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 001996) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-06-12 |