NPI | 1184837825 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ZIMMERMAN Optometrist Part Owner 856-848-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0601001000) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0601000680) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2009-10-26 |