Organization
MEMPHIS OPTICAL DISPENSARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER WILLIAM STAFEIL (PRESIDENT)
(901) 683-8226
Entity
Organization
Contact information
Practice address
4697 POPLAR AVE, MEMPHIS, TN 38117
(901) 683-8226
(901) 683-3441
Mailing address
4697 POPLAR AVE, MEMPHIS, TN 38117
(901) 683-8226
(901) 683-3441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
02/12/2008
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