| NPI | 1144384496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE J GOLDSCHNEIDER Vice President 856-825-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00461700) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |