OrganizationActive
Advanced Vision & Wellness Clinic
NPI 1043633480 · Optometrist · Ogden, UT
Provider details
- NPI number
- 1043633480
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Authorized official
- David Burnett, Manager
- License
- 56760929934 (UT)
Mailing address
298 24th St
Ogden, UT 84401-1431
Registry dates
- Enumerated
- 2014-01-21
- Last updated
- 2014-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.