| NPI | 1427790633 |
|---|---|
| Doing Business As | MILLENNIUM EYE CARE JACKSON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | STEVEN A MADREPERLA President/CEO 908-458-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-05-09 |