| NPI | 1477288835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA STEVENS Practice Manager 201-384-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |