| NPI | 1376099432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEE WATSON Owner 801-791-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 7370813-9934) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 7370813-9934) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-04-23 |