| NPI | 1174624787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA WOODS Office Manager 801-886-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-01-30 |