| NPI | 1962521252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA COLEMAN Optician 732-565-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31td00344800) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |