NPI | 1902389869 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MADREPERLA Owner 908-458-8333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2018-09-07 |
Last Update Date | 2018-09-11 |