| NPI | 1700894961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CASTLEBERRY Manager/Optician 801-374-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-08-12 |