NPI | 1225563893 |
---|---|
Doing Business As | BLANDING FAMILY VISION CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL JENSEN Chief Executive Officer 435-651-3713 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2017-04-20 |
Last Update Date | 2019-08-01 |