| NPI | 1356516801 | 
|---|---|
| Doing Business As | BALDWIN OPTICAL | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT E. BALDWIN Owner 435-752-6110 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 112533-9934) | 
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 08-00959) | 
| Enumeration Date | 2008-04-25 | 
| Last Update Date | 2008-11-18 |