| NPI | 1255887964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED J SIWIEC Pres. 973-633-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00061200) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OM00061200) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |