| NPI | 1962752923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA J ELKINS Owner/O PT Ometrist 931-729-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN TN1419) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2016-08-11 |