| NPI | 1972548824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. SIEGEL Partner/Optometrist 973-584-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA00588000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OA00511801) |
| 152W00000X Optometrist (Licence: NJ OA00375200) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-09-27 |