| NPI | 1104176981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILAM SHAH Owner 201-974-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |