| NPI | 1780733980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY THOMAS DOOLEN President 1908-964-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA0005177) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |