| NPI | 1982684106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K DAVIS Optometrist 615-758-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 1166) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 1157) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-03-20 |