Organization
OPTOMETRYPRNPC
Active
Other names
Family Center Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TINA C. MARTIN O.D. (OPTOMETRIST, OWNER)
(801) 561-4282
Entity
Organization
Contact information
Practice address
914 FORT UNION BLVD, MIDVALE, UT 84047-1714
(801) 561-4282
(801) 561-4283
Mailing address
914 FORT UNION BLVD, MIDVALE, UT 84047-1714
(801) 561-4282
(801) 561-4283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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