| NPI | 1942437058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN PETERSON President 801-879-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 283356-9934) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |