| NPI | 1558487975 |
|---|---|
| Doing Business As | VISION SOURCE AT JORDAN LANDING |
| Entity Type | Organization |
| Authorized Contact | JAMES D. SARGENT Owner 801-566-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 108971-9934) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-08-20 |