| NPI | 1801456967 |
|---|---|
| Other Name | AG VISION CARE LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL OBASUYI O PT Ometrist 973-810-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |