| NPI | 1225373640 |
|---|---|
| Doing Business As | SOUTH VALLEY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN BETHERS President 801-316-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 1394746-0143) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: UT 5343369-9934) |
| 152W00000X Optometrist (Licence: UT 5343369-9934) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 5343369-9934) | |
| 152WP0200X Optometrist, Pediatrics (Licence: UT 5343369-9934) | |
| 152WS0006X Optometrist, Sports Vision (Licence: UT 5343369-9934) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: UT 5343369-9934) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: UT 5343369-9934) | |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2015-07-15 |