Healthcare Provider Details

I. General information

NPI: 1043463243
Provider Name (Legal Business Name): DR. KARA PASNER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 05/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 DWIGHT DR
OCEAN NJ
07712-3655
US

IV. Provider business mailing address

26 DWIGHT DR
OCEAN NJ
07712-3655
US

V. Phone/Fax

Practice location:
  • Phone: 732-531-8721
  • Fax:
Mailing address:
  • Phone: 732-531-8721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: KARA ROSE PASNER
Title or Position: PRESIDENT
Credential: O.D.
Phone: 732-531-8721