NPI | 1346624061 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA LOUZON O PT Ical Manager 908-625-0809 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2015-07-13 |
Last Update Date | 2017-03-22 |