NPI | 1336897081 |
---|---|
Other Name | ALEX JONATHAN KASS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003978) |
Additional Taxonomies | 156FX1201X Technician/Technologist, Optometric Assistant |
Enumeration Date | 2022-03-11 |
Last Update Date | 2023-02-19 |