| NPI | 1245437755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRYLEE MAIMONE Owner 201-703-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00490500) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NJ 27TO00040600) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2008-04-20 |