| NPI | 1306778071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SERRANO Licensed Optician 201-640-4367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2026-05-29 |
| Last Update Date | 2026-05-29 |