| NPI | 1467496638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KELLNER Practice Administrator 302-477-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE 1989019750) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE 1989019750) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-12-12 |