| NPI | 1124575154 |
|---|---|
| Doing Business As | BROADWAY OPTICS VISION |
| Entity Type | Organization |
| Authorized Contact | NANCY FUENTES Owner 201-758-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |