NPI | 1003949850 |
---|---|
Entity Type | Organization |
Authorized Contact | R BRADLEY RICE Owner 801-619-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 97-344994-9934) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2009-10-08 |