| NPI | 1598140261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MICHAEL LEVINSON Optometry 973-263-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00013501) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NJ 27OA00656400) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |