| NPI | 1346377520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR NESTOROWICZ President 732-431-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00607300) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-08-18 |