| NPI | 1124282298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALEXANDER NEVELOFF Optometrist 732-381-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 4648) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |