| NPI | 1851327415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL J OLSON Department Chair 801-581-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WP0200X Optometrist Pediatrics | |
| 156FC0800X Technician/Technologist Contact Lens | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2014-04-10 |