| NPI | 1083977219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK B AMES President/Owner 435-674-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 7693840-9934) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |