Whalio Doctors

NPI 1184037285

Jonathan Boster, OD

Practitioner Optometrist Salt Lake City, UT

Practice location

Address
1901 W Parkway Blvd, Salt Lake City, UT 84119-2001
Phone
(801) 886-2020

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 9051999-9934 (UT)

Registry record

NPI
1184037285
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jun 2014
Record last updated
5 Jun 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.