| NPI | 1659423952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GAILIS Office Adminstrator 732-244-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2012-02-17 |