| NPI | 1639723471 |
|---|---|
| Doing Business As | EYE CARE 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH G CARBONE Executive Director 801-285-5443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |