| NPI | 1568679793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P. REPAGE O PT Ometrist 908-233-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00565200) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-06-24 |