Individual
MR. ROBERT M KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPT.DISP.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5907
NY
156FX1800X
Optician
Primary
4019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01151940
—
NY
Enumeration date
05/17/2006
Last updated
05/04/2010
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