| NPI | 1922091255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE R OFFEN Pres 908-789-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00437900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27TO00014400) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: NJ 27OA00437900) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-08-21 |