| NPI | 1952635690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ANDERSON Owner 931-728-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2013-01-15 |