| NPI | 1497865463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY STRULL Office Manager 201-986-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00467700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00271700) |
| 152W00000X Optometrist (Licence: NJ 27OA00605100) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: NJ 27OM00022900) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: NJ 27OM00026100) | |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: NJ 27OM00022900) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-02-01 |