Organization
DP 17 OPTOMETRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE FRASER O.D. (OPTOMETRIST)
(201) 599-1102
Entity
Organization
Contact information
Practice address
494 N RTE 17, PARAMUS, NJ 07652-3012
(201) 599-1102
(201) 599-1202
Mailing address
494 N RTE 17, PARAMUS, NJ 07652-3012
(201) 599-1102
(201) 599-1202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27040552800
NJ
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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