NPI | 1407470040 |
---|---|
Doing Business As | PROMONTORY FAMILY VISION |
Entity Type | Organization |
Authorized Contact | JEREMIAH V CHURCH Optometrist 801-479-7850 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |