| NPI | 1982679296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M REYNOLDS President/Owner 423-870-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-08-23 |