| NPI | 1851423669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G EVANS Owner 901-761-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-09-26 |