| NPI | 1396078028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKUL C RAITHATHA Owner 201-428-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |