| NPI | 1760068662 |
|---|---|
| Doing Business As | HEBER VALLEY VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | CORIE DEAUN SORENSEN Billing Manager 801-566-5683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-24 |