| NPI | 1831387125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F. PINGREE President 801-966-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: UT 51179711205) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 47809529934) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2010-06-23 |