| NPI | 1740056597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LJUBISA ERNJAKOVIC President 801-797-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 156FX1700X Technician/Technologist Ocularist |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-01-23 |