| NPI | 1326613571 |
|---|---|
| Former Legal Business Name | CRYSTAL LENS OPTICAL LLC |
| Entity Type | Organization |
| Authorized Contact | EDWARD A FORSZT O.D 973-773-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |