| NPI | 1831405919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND KAY MONSON Optometrist 1801-373-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 109118-9934) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2011-01-26 |