NPI | 1356422695 |
---|---|
Doing Business As | VISION SOURCE-SOUTH VALLEY EYECARE |
Entity Type | Organization |
Authorized Contact | DALE F. HARDY President 801-253-1374 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-10-17 |
Last Update Date | 2009-02-12 |