Central Utah Optical

NPI #1396831483 in Provo, Utah

Provider Information

NPI Number: 1396831483
Entity Type: Organization
Organization Name: Central Utah Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 5, 2006
Last Updated: Mar 15, 2011

Practice Location

Address: 1735 N STATE ST
City: Provo
State: Utah
ZIP Code: 84604-1010
Phone: (801) 374-1818

Authorized Official

Name: MR. RON DUNN
Title: ADMINISTRATOR
Phone: (801) 374-1818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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