| NPI | 1477736403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY OLSON SACCOMANNO President Stock Holder 435-637-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 60582630144) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |