NPI | 1871783274 |
---|---|
Other Name | DIAGNOSTIC EYECARE |
Entity Type | Organization |
Authorized Contact | DONNA MARIE HASTINGS Licensed Optician/CEO 901-766-6742 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN 962) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: TN 962) |
305R00000X Preferred Provider Organization (Licence: TN 962) | |
302F00000X Exclusive Provider Organization (Licence: TN 962) | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2014-08-08 |