NPI | 1457338709 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT BRUCE BOYER CEO President 435-753-3906 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 8908) |
Additional Taxonomies | 152W00000X Optometrist (Licence: UT 1126549934) |
152W00000X Optometrist (Licence: NV 0233) | |
152W00000X Optometrist (Licence: CA 8428) | |
152W00000X Optometrist (Licence: VA 1302) | |
Enumeration Date | 2005-12-28 |
Last Update Date | 2020-08-22 |