Optometry Group Enterprises, Pc Valid NPI

Organization · Optometrist · Lakeland, TN

NPI

1104968338

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

ODT 1585 (TN)

Enumerated

2007-02-13

Last updated

2012-07-19