Dp 17 Optometric Associates

NPI #1912384652 in Paramus, New Jersey

Provider Information

NPI Number: 1912384652
Entity Type: Organization
Organization Name: Dp 17 Optometric Associates
Primary Specialty: Optometrist
Enumeration Date: May 1, 2015
Last Updated: May 1, 2015

Practice Location

Address: 494 N RTE 17
City: Paramus
State: New Jersey
ZIP Code: 07652-3012
Phone: (201) 599-1102

Authorized Official

Name: DR. MICHELLE FRASER, O.D.
Title: OPTOMETRIST
Phone: (201) 599-1102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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