NPI | 1760470405 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES FITZPATRICK President 856-482-2933 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00419000) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2008-09-16 |