Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV00003150 | NY |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV00003150 | NY |
N | 152WS0006X | Sports Vision | TUV00003150 | NY |
N | 152WX0102X | Occupational Vision | TUV00003150 | NY |
NPI | 1073518858 |
---|---|
Provider Name | Dr. Howard Jeffrey Kass |
First Address | Clay, NY 13041-8785 |
Second Address | Clay, NY 13041-8785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 01/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T49198 | (02) |