| 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 |