Optometryprnpc

NPI #1720185952 in Midvale, Utah

Provider Information

NPI Number
1720185952
Entity Type
Organization
Organization Name
Optometryprnpc
Primary Specialty
Optometrist
Enumeration Date
Sep 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
914 FORT UNION BLVD
State
Utah
ZIP Code
84047-1714
Phone
(801) 561-4282

Authorized Official

Name
TINA C. MARTIN, O.D.
Title
OPTOMETRIST, OWNER
Phone
(801) 561-4282

Specialties & Taxonomy Codes

Specialty
Optometrist

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