| NPI | 1912397571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PORSHAY Owner 732-866-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |