| NPI | 1952966152 |
|---|---|
| Doing Business As | VIS. |
| Entity Type | Organization |
| Authorized Contact | STEPHEN NICHOLAS LUNDQUIST President, Optometrist 801-410-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2020-12-22 |