| NPI | 1346624061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LOUZON Optical 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 |