| NPI | 1073996344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON W HENDRIX Managing Member 435-628-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 6160962-1205) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 375881-9934) |
| 207W00000X Ophthalmology (Licence: UT 7154752-1205) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |