| NPI | 1407578917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DELLO RUSSO Owner 201-739-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-20 |