| NPI | 1689731721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DANIEL GOOTMAN President 732-536-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NJ 31TD00151100) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2009-01-13 |