| NPI | 1669978896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT ALBRECHT Owner 435-865-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |