| NPI | 1447378302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIA MONROE Surgeon Director Owner 801-224-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 2619191205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 2619191205) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-04-27 |