Jdn Vista LLC

NPI #1891238341 in Bridgewater, New Jersey

Provider Information

NPI Number: 1891238341
Entity Type: Organization
Organization Name: Jdn Vista LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2016
Last Updated: Dec 2, 2016

Practice Location

Address: 200 PROMENADE BLVD
Address 2: TARGET OPTICAL
City: Bridgewater
State: New Jersey
ZIP Code: 08807-3456
Phone: (732) 357-1168

Authorized Official

Name: DAVID SAMUEL
Title: OPTOMETRIST/OWNER
Phone: (914) 500-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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