| NPI | 1801073192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MARIA TAVARES Office Manager 201-896-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |