Granger Optical LLC
NPI #1750484945 in West Valley City, Utah
Provider Information
- NPI Number
- 1750484945
- Entity Type
- Organization
- Organization Name
- Granger Optical LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3725 W 4100 S
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-5530
- Phone
- (801) 965-3636
Authorized Official
- Name
- DR. ROBERT E SMITH, M.D.
- Title
- OWNER
- Phone
- (801) 965-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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