Boster Vision, LLC
Organization Active NPI Optometrist · Riverdale, UT
NPI 1801316138 · NPPES record last updated Jun 27, 2017
Key facts
- NPI
- 1801316138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 9051999-9934 (UT)
- Legal business name
- BOSTER VISION, LLC
- Practice address
- 4848 S 900 W
Riverdale, UT 84405-3726 - Phone
- (801) 404-2825
- NPI assigned
- Jun 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Jonathan Boster, O.D.
- Title
- Manager
- Phone
- (801) 404-2825
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 9051999-9934 | UT | Yes |
Addresses
Primary practice location
4848 S 900 W
Riverdale, UT 84405-3726
Mailing address
2133 W 900 N
Farr West, UT 84404-9586
Phone (801) 404-2825
Other providers in Riverdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.