| NPI | 1477060267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MONTENARE Owner 201-857-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00641300) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NJ 27OA00641300) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-10-21 |