NPI 1104041037
See INC
Practice location
- Address
- 1818a 21st Ave S, Nashville, TN 37212-3706
- Phone
- (615) 763-2336
- Fax
- (615) 463-2338
Authorised official
- Name
- Mary E Walker
- Title
- Manager
- Phone
- (248) 663-6300
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1104041037
- Entity type
- Organization
- NPI issued
- 16 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.