OPTOMETRYPRNPC

MIDVALE, UT
NPI1720185952
Entity TypeOrganization
Authorized ContactTINA C. MARTIN
O PT Ometrist, Owner
801-561-4282
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
OPTOMETRYPRNPC
914 FORT UNION BLVD
MIDVALE, UT 84047-1714
Phone number: 801-561-4282
Mailing Address
OPTOMETRYPRNPC
914 FORT UNION BLVD
MIDVALE, UT 84047-1714
Phone number: 801-561-4282
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