Organization
PARK VISION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GULLMAJ L. ROBERTS PHD (OWNER)
(908) 725-1772
Entity
Organization
Contact information
Practice address
205 W MAIN ST, SUITE 307B, SOMERVILLE, NJ 08876-2834
(908) 725-1770
Mailing address
205 W MAIN ST, SUITE 307B, SOMERVILLE, NJ 08876-2834
(908) 725-1770
Taxonomy
Speciality
Code
Description
License number
State
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
01/15/2013
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