| NPI | 1770852147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY BURTON ROUNDS Doctor/Owner 435-654-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 1137899934) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |