| NPI | 1093045437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN BONAME Optometric Physician/President 609-279-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 27OA00529800) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-04-07 |