| NPI | 1003144833 |
|---|---|
| Doing Business As | FORT LEE VISION |
| Entity Type | Organization |
| Authorized Contact | DIANE M. KIM O.D./Owner 201-346-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NJ 27OA00602800) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2014-12-11 |