| NPI | 1639546658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DANIEL BROSCHINSKY Optometric Physician 435-563-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 88192259934) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |