| NPI | 1245354901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY TESAR Director Of Insurance 435-789-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 1137489934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 1145979934) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-06-03 |