| NPI | 1700257953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADIP SHAH Optician 732-438-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: NJ 31TD003820000) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |