NPI 1447808993

Monica Wilburn, LDO

Practitioner Optician Secaucus, NJ

Practice location

Address: 101 Plaza Ctr, Secaucus, NJ 07094-3508
Phone: (201) 590-6859
Fax: (201) 617-5009
Mailing address: 11605 N Lamar Blvd, Austin, TX 78753-2658

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 31TD00389100 (NJ)

Other Technician/Technologist providers in New Jersey →

Registry record

NPI: 1447808993
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2019
Record last updated: 28 Aug 2019

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.