| NPI | 1245558519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BOYLE BURNETT President 801-309-4832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 5676092-9934) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |