NPI | 1639357593 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID R MASIHDAS President/Owner 801-363-2851 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 110793934) |
Enumeration Date | 2008-02-03 |
Last Update Date | 2020-06-18 |