Modern Optical Company
NPI #1407844269 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1407844269
- Entity Type
- Organization
- Organization Name
- Modern Optical Company
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 6, 2005
- Last Updated
- May 28, 2014
Practice Location
- Address
- 1548 EAST 4500 SOUTH
- Address 2
- SUITE - 105
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117
- Phone
- (801) 277-4690
Authorized Official
- Name
- MR. ROBERT WALKER FEHR SR.
- Title
- PRESIDENT
- Phone
- (801) 277-4690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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