| NPI | 1972773349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D. GILLILAND President 865-522-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TN 1593OD) |
| Enumeration Date | 2008-03-02 |
| Last Update Date | 2011-10-31 |