| NPI | 1578842464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH J. CASTLETON Optometrist 801-768-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 5350538-9934) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2012-02-17 |