Mr. Kevin D Kooistra, OPTICIAN
Technician/Technologist, Optician in Clifton, New Jersey
1326113994- Practice location
- 1033 Clifton Ave, Suite 107, Clifton, NJ 07013-3517
- Phone
- 973-471-1225
- Fax
- 973-472-4835
- Last updated
- October 26, 2011
Kevin Donald Kooistra is a Technician/Technologist, Optician based in Clifton, NJ. 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 (NJ). The current practice location address for Kevin Donald Kooistra is 1033 Clifton Ave, Suite 107, Clifton, NJ 07013-3517 and can be reached out via phone at 973-471-1225 and via fax at 973-472-4835.
Provider Profile Details
- NPI Number
- 1326113994
- Provider Name
- Kevin Donald Kooistra
- Credential
- OPTICIAN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1033 Clifton Ave, Suite 107, Clifton, NJ 07013-3517
- Phone Number
- 973-471-1225
- Fax Number
- 973-472-4835
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 21, 2006
- Last Update Date
- October 26, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1033 Clifton Ave
Suite 107
Clifton, NJ 07013-3517 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3517
- Phone Number
- 973-471-1225
- Fax Number
- 973-472-4835
Provider Business Mailing Address Details
- Address
- 1033 Clifton Ave
Suite 107
Clifton, NJ 07013-3517 - City
- Clifton
- State
- NJ
- Zip
- 07013-3517
- Phone Number
- 973-471-1225
- Fax Number
- 973-472-4835
License Information
- License Number
- 31TD00190700
- License State
- NJ
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kevin D Kooistra, OPTICIAN?
The NPI number of Mr. Kevin D Kooistra, OPTICIAN is 1326113994. It was assigned on November 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevin D Kooistra, OPTICIAN?
Mr. Kevin D Kooistra, OPTICIAN is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number 31TD00190700.
Where does Mr. Kevin D Kooistra, OPTICIAN practice?
The practice location is 1033 Clifton Ave, Suite 107, Clifton, NJ 07013-3517. The office can be reached at 973-471-1225 (phone) or 973-472-4835 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326113994 directly on the NPPES registry website.