Boster Vision, LLC

NPI #1801316138 in Riverdale, Utah

Provider Information

NPI Number: 1801316138
Entity Type: Organization
Organization Name: Boster Vision, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 27, 2017
Last Updated: Jun 27, 2017

Practice Location

Address: 4848 S 900 W
City: Riverdale
State: Utah
ZIP Code: 84405-3726
Phone: (801) 404-2825

Authorized Official

Name: JONATHAN BOSTER, O.D.
Title: MANAGER
Phone: (801) 404-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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