NPI | 1104046911 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON B WALKER Vice President 973-328-1508 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 261Q00000X Clinic/Center |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |