NPI | 1073612149 |
---|---|
Entity Type | Organization |
Authorized Contact | J MARK ENGEL President 732-613-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management |
Additional Taxonomies | 152W00000X Optometrist |
152WP0200X Optometrist Pediatrics | |
152WV0400X Optometrist Vision Therapy | |
174400000X Specialist | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2010-11-29 |