Organization
THE OPTIC NERVE, INC.
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN D. YODER (OPTICIAN/OWNER)
(856) 985-1300
Entity
Organization
Contact information
Practice address
163 ROUTE 73 S, MARLTON, NJ 08053-4120
(856) 985-1300
(856) 985-1346
Mailing address
163 ROUTE 73 S, MARLTON, NJ 08053-4120
(856) 985-1300
(856) 985-1346
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
31TD00342201
NJ
156FX1800X
Optician
Primary
31TD00342201
NJ
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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