| NPI | 1801127634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY L MELLOR Member/Doctor 801-867-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 328094-9934) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-05-25 |