NPI | 1841575438 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON PRICE BEHUNIN President 801-802-7101 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 5139706-9934) |
Enumeration Date | 2011-10-15 |
Last Update Date | 2011-10-15 |