Organization
NORTHWEST OPTOMETRY GROUP, P.A.
Active
Parent organization
NORTHWEST OPTOMETRY GROUP, P.A.
Other names
Blairstown Eye Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST OPTOMETRY GROUP, P.A.
Authorized official
DR. BERNARD MULLIN O.D. (V.P.)
(908) 832-9211
Entity
Organization
Contact information
Practice address
174 STATE ROUTE 94, BLAIRSTOWN, NJ 07825-2115
(908) 362-8257
Mailing address
174 STATE ROUTE 94, BLAIRSTOWN, NJ 07825-2115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
11/05/2008
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