| NPI | 1619209673 |
|---|---|
| Other Name | CLASSIC OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CONKLIN O PT Ometrist 801-261-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: UT 5354412-9934) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |