| NPI | 1285803361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L. RENCHER President 801-773-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |