| NPI | 1811159767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM FIFE President 435-656-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 6732866 9934) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-10-04 |