| NPI | 1821294505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FLOYD BIBB President 615-329-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: TN DPO226) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-02-11 |