| NPI | 1760612139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE ANN MCALLISTER Owner 801-485-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: UT 19242) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |