| NPI | 1740326826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE FERNANDEZ President 908-389-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 5245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 00516) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-12-20 |