Bruce Kastner, OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

27OA00496400 Issued in NJ

Legal business name

BRUCE KASTNER, OD

Practice address

6 Dundee Ave
Iselin, NJ 08830-2119

Phone

(732) 283-0682

NPI assigned

Feb 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Daniel Kastner, OD

Title

Owner/Optometrist

Phone

(732) 283-0682

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1104095272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DUNDEE AVE",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302119",
            "telephone_number": "732-283-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DUNDEE AVE",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302119",
            "telephone_number": "732-283-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE KASTNER, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "KASTNER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "732-283-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "27OA00496400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1654101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.