| NPI | 1689977787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA V GAINES-SMITH Optometrist 973-831-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00522700) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2011-11-17 |