person
Mr. Kevin Donald Kooistra, OPTICIAN
Optician in Clifton, New Jersey
NPI 1326113994

Kevin Donald Kooistra is a Optician based in Clifton, NJ and is specialized in Optician. Kevin Donald Kooistra practices in Clifton, NJ and has the professional credentials of OPTICIAN. The NPI Number for Kevin Donald Kooistra is 1326113994 and holds a License No. 31TD00190700 (New Jersey).

The current practice location address for Kevin Donald Kooistra is 1033 Clifton Ave, Clifton, NJ and can be reached out via phone at 973-471-1225 and via fax at 973-472-4835.

Location: 1033 Clifton Ave, Clifton, NJ, 07013-3517
person
Provider Profile Details
NPI Number
1326113994
Provider Name
Kevin Donald Kooistra
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1033 Clifton Ave, Clifton, NJ, 07013-3517
Phone Number
973-471-1225
Fax Number
973-472-4835
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1033 Clifton Ave
City
State
Zip
07013-3517
Phone Number
973-471-1225
Fax Number
973-472-4835
person
Provider Business Mailing Address Details
Address
1033 Clifton Ave
City
State
Zip
07013-3517
Phone Number
973-471-1225
Fax Number
973-472-4835
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
31TD00190700 (New Jersey)
Definition
Definition to come...
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