| NPI | 1194135673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE KUTSOWSKY Optometrist 347-281-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27oa00584200) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NJ 27oa00584200) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-11-19 |