| NPI | 1235320128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A PONE Optician 609-586-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31TD00132000) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-02-12 |