Whalio Doctors

NPI 1265635932

Elegant Eyes, INC

Organisation Optician Newark, NJ

Practice location

Address
875 Broad St, Newark, NJ 07102-2622
Phone
(973) 622-4492
Fax
(973) 622-5919

Authorised official

Name
Denise Vennetta Slaughter
Title
President
Phone
(973) 622-4492

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence D1360 (NJ)

Registry record

NPI
1265635932
Entity type
Organization
NPI issued
8 Jun 2007
Record last updated
22 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.