NPI | 1356400337 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN FARNSWORTH ROWLEY Physician 801-465-0355 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 5147143-9934) |
Additional Taxonomies | 152W00000X Optometrist (Licence: UT 51471439934) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 51471439934) | |
152WP0200X Optometrist, Pediatrics (Licence: UT 51471439934) | |
152WS0006X Optometrist, Sports Vision (Licence: UT 51471439934) | |
152WV0400X Optometrist, Vision Therapy (Licence: UT 51471439934) | |
152WX0102X Optometrist, Occupational Vision (Licence: UT 51471439934) | |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: UT 5147143-9934) | |
152WX0102X Optometrist, Occupational Vision (Licence: UT 5147143-9934) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2013-02-25 |