| NPI | 1356597629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J DEGEORGE Optometrist 973-473-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ OA004459) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NJ OA004459) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |