| NPI | 1801198247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY JUSTINE GOODE Optometrist/Owner 435-657-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 7671967-9934) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-01-19 |