| NPI | 1730216011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ZIMMERMAN Ophthalmic Dispenser 732-617-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 005287-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |