NPI | 1356466767 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH JAMES REDA Owner 856-786-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00286100) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00470000) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2009-01-23 |