| NPI | 1851133565 |
|---|---|
| Doing Business As | EYE GROUP |
| Doing Business As | RAVINE EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | TYLER LESKO Managing Member/Partner 732-504-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-10-11 |