| NPI | 1285927129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY LOVELL MELLOR Owner 801-858-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 328094-9934) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 328094-9934) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-08-09 |