| NPI | 1558434613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS R SMITH Owner President 801-295-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 1128829934) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-10-08 |