| NPI | 1811217383 |
|---|---|
| Doing Business As | BOX ELDER FAMILY VISION |
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN TERRY Owner 435-723-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 1125909934) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2019-10-02 |