| NPI | 1932818903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PEREZ Optometrist 801-400-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-05-20 |