| NPI | 1932200664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LAVERGHETTA CEO 865-588-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-01-16 |