| NPI | 1023397189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI MULI Administrator 973-560-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-11-08 |