| NPI | 1225242894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNETTA ANDRUS Office Manager 435-628-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 108815-9934) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-04-08 |