NPI | 1184974883 |
---|---|
Entity Type | Organization |
Authorized Contact | RICH HUMPHERYS Owner/O PT Ometrist 801-394-5709 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 111347-9934) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2017-08-23 |