| NPI | 1215283247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE H CHOI Member 801-281-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2018-08-20 |