| NPI | 1952851792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L BIBO Owner/Optometrist 801-923-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 8674084-9934) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-01-25 |