| NPI | 1467903880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY G ANGEL Owner 973-392-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00595000) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2018-11-15 |