Boomerang Lenses, LLC
Eyewear Supplier (Equipment, not the service) in Draper, UT. Organization (NPI-2).
NPI number1629684592
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1629684592
- Entity type
- Organization (NPI-2)
- Legal business name
- Boomerang Lenses, LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
261 W Data DrDraper, UT 84020-2372
Phone 801-316-7408
Mailing address
261 W Data DrDraper, UT 84020-2372
Authorized official
Kenton Nielson
Gm
8013167408
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