| NPI | 1679763551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE G HATHAWAY Partner 732-828-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2011-12-09 |