| NPI | 1700062502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A BOAK Office Manager 201-941-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NJ 25MA01907400) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |