| NPI | 1851601561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY G. BATEY Manager 901-652-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3304ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3346ATI) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-20 |