| NPI | 1063602803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID MOORE Owner 201-420-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00483000) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |