| NPI | 1346493210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE ELIZABETH GRAVES Provider/Owner 201-310-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00511200) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-05-29 |