NPI | 1366645954 |
---|---|
Other Name | LAYTON VISUAL CENTER, INC |
Entity Type | Organization |
Authorized Contact | DENMARK RAY JENSEN Owner 801-546-2481 |
Organization Subpart ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: UT 108553-8908) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: UT 108553-8908) |
152WS0006X Optometrist, Sports Vision (Licence: UT 108553-8908) | |
152WX0102X Optometrist, Occupational Vision (Licence: UT 108553-8908) | |
Enumeration Date | 2007-06-09 |
Last Update Date | 2013-02-13 |