Organization
MASTER OPTICIANS
Active
Organization
MASTER OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY GIBB (OFFICE MANAGER)
(801) 298-2309
Entity
Organization
Contact information
Practice address
425 MEDICAL DR, SUITE 219, BOUNTIFUL, UT 84010-4945
(801) 298-2309
(801) 295-7104
Mailing address
425 MEDICAL DR, SUITE 219, BOUNTIFUL, UT 84010-4945
(801) 298-2309
(801) 295-7104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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