NPI | 1700221710 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J DZURENDA Optemetric Physician 732-819-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
152WP0200X Optometrist, Pediatrics | |
152WS0006X Optometrist, Sports Vision | |
156FC0800X Technician/Technologist, Contact Lens | |
156FX1201X Technician/Technologist, Optometric Assistant | |
156FX1800X Technician/Technologist, Optician | |
152WX0102X Optometrist, Occupational Vision | |
Enumeration Date | 2013-05-03 |
Last Update Date | 2013-05-03 |