Individual
ALEXANDER JONATHAN KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003978
PA
156FX1201X
Optometric Assistant Technician
—
—
Other
Enumeration date
03/11/2022
Last updated
02/19/2023
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