| NPI | 1235448887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULLMAJ L. ROBERTS Owner 908-725-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
| Additional Taxonomies | 152WS0006X Optometrist, Sports Vision |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2013-01-15 |