| NPI | 1396389599 |
|---|---|
| Other Name | IC LASER EYE CARE, P.C. NJ OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | NEVILA BURDA Practicec Manager 215-639-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-01-03 |