| NPI | 1558548073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILY LESKO Owner 973-472-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31TD00212900) |
| 156FX1800X Technician/Technologist, Optician (Licence: NJ 31TD00138300) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2011-09-20 |