NPI 1043633480

Advanced Vision & Wellness Clinic

Organisation Optometrist Ogden, UT

Practice location

Address: 298 24th St Suite 315, Ogden, UT 84401-1431
Phone: (801) 393-4413

Authorised official

Name: David Boyle Burnett
Title: Manager
Phone: (801) 393-4413

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 56760929934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1043633480
Entity type: Organization
NPI issued: 21 Jan 2014
Record last updated: 21 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.