| NPI | 1861785701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MOLOCK-HEROLD Optometrist 856-577-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |