| NPI | 1437297058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D GRODMAN Owner 732-828-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ Tdooo76900) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |