| NPI | 1205967973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN IVOR FISHBEIN O PT Ometrist 732-658-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA5536) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OA5492) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-02-28 |