Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN DONALD KOOISTRA, OPTICIAN
ActiveMR. KEVIN DONALD KOOISTRA, OPTICIAN is a Optician, Dispensing healthcare provider located in CLIFTON, New Jersey. NPI 1326113994 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · CLIFTON, NJ
Registration Details
- NPI Number
- 1326113994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.688335115967 yrs)
- Last Updated
- Oct 26, 2011
- License
-
31TD00190700 (NJ)
Practice Information
- Address
-
1033 CLIFTON AVESUITE 107CLIFTON, NJ, 070133517Browse NJ providers · Browse ZIP 07013
- Phone
- 9734711225
- Fax
- 9734724835
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in CLIFTON, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD G TRISCHETTA | OPTICIAN | 1295997765 |
| MAJEDAH FAYED | OPTICIAN | 1093249559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.