| NPI | 1376772251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD H CAMPBELL O PT Ometrist 801-282-4826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 56755659934) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |