| NPI | 1548094246 |
|---|---|
| Doing Business As | BLACK ROCK EYE CARE |
| Entity Type | Organization |
| Authorized Contact | DALLIN WILSON Optometrist 435-359-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |