| NPI | 1871783274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE HASTINGS Licensed O PT Ician/CEO 901-766-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (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 |