NPI | 1760835375 |
---|---|
Former Legal Business Name | EZ MD OPTICAL |
Entity Type | Organization |
Authorized Contact | ROGER R ROMERO Lic Ophthalmic Dispenser O PT Ician 201-628-1465 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 31TD00351400) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |