| NPI | 1790008290 |
|---|---|
| Other Name | UNION SQUARE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L WEST President 801-572-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 111824-9934) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 111824-8908) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |