| NPI | 1841465127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONA DAVIS Office Manager 731-587-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN odt498) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |