| NPI | 1689857302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN HUEBNER Owner/Manager 801-225-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2020-05-27 |