NPI | 1659609279 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD SCOTT ROPER Optometrist 801-966-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 51898809934) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |