| NPI | 1932396371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L VINES O PT Ometrist/Owner 865-982-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN ODT-1895) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2016-11-30 |