| NPI | 1902963150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA JOSEPH HANLON Optometrist 732-613-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00433900) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-03-04 |