| NPI | 1881625770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M PISH Owner/O PT Ometrist 423-876-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD000001665) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-06-16 |