| NPI | 1659027548 |
|---|---|
| Doing Business As | SOUTH VALLEY VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | CORIE DEAUN SORENSEN Billing Manager 801-391-5512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-16 |