Organization
WILLIAM KASTERN, O.D., PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KASTERN O.D., PH.D. (OPTOMETRIST)
(540) 563-8279
Entity
Organization
Contact information
Practice address
4822C VALLEY VIEW BLVD., ROANOKE, VA 24012
(540) 563-8279
(540) 563-5598
Mailing address
4822C VALLEY VIEW BLVD., ROANOKE, VA 24012
(540) 563-8279
(540) 563-5598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001382
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851492102
—
VA
Enumeration date
10/15/2009
Last updated
10/15/2009
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