| NPI | 1053536292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAQUIN ARMANDO RODRIGUEZ Optician 201-330-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31TD00153100) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |