NPI | 1386192219 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER ALLEN Privacy Officer 801-316-5508 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
152WV0400X Optometrist, Vision Therapy | |
152WX0102X Optometrist, Occupational Vision | |
156F00000X Technician/Technologist | |
156FC0800X Technician/Technologist, Contact Lens | |
156FC0801X Technician/Technologist, Contact Lens Fitter | |
156FX1800X Technician/Technologist, Optician | |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |