| NPI | 1295934651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT RICHARD VICCI Owner 908-654-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NJ 270A00416900) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NJ 270A00416900) |
| 152WV0400X Optometrist, Vision Therapy (Licence: NJ 270A00416900) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-04-03 |