| NPI | 1902889165 |
|---|---|
| Doing Business As | BROADWAY EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KARRI A BURESH Owner/Coe 801-322-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2025-10-16 |