Northwest Optometry Group, P.a.

NPI #1114191715 in Blairstown, New Jersey

Provider Information

NPI Number
1114191715
Entity Type
Organization
Organization Name
Northwest Optometry Group, P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHWEST OPTOMETRY GROUP, P.A.
Primary Specialty
Optometrist
Enumeration Date
Apr 15, 2008
Last Updated
Nov 5, 2008

Practice Location

Address
174 STATE ROUTE 94
ZIP Code
07825-2115
Phone
(908) 362-8257

Authorized Official

Name
DR. BERNARD MULLIN, O.D.
Title
V.P.
Phone
(908) 832-9211

Specialties & Taxonomy Codes

Specialty
Optometrist

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