Organization
CLOSTER EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD D KIM O.D. (OWNER/PRESIDENT)
(201) 564-7700
Entity
Organization
Contact information
Practice address
247 CLOSTER DOCK RD, CLOSTER, NJ 07624-2619
(201) 564-7700
(201) 564-7701
Mailing address
245 CLOSTER DOCK RD, CLOSTER, NJ 07624-2619
(201) 564-7700
(201) 564-7701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27AO00603100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135020
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
—
Enumeration date
09/30/2008
Last updated
08/21/2020
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