| NPI | 1104095272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DANIEL KASTNER Owner/Optometrist 732-283-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NJ 27oa00496400) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |