| NPI | 1659384204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE A WOODFIELD Managing Member 801-621-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 111847-9934) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-03-20 |