NPI | 1417540501 |
---|---|
Former Legal Business Name | KEARNY VISION CENTER OD PC |
Entity Type | Organization |
Authorized Contact | CHUNG LEE Od 201-866-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |