Whalio Doctors

NPI 1205122520

Vesta Kim, OPTICIAN

Practitioner Optician East Brunswick, NJ

Practice location

Address
14-22 Prospect Street, East Brunswick, NJ 08816-5808
Phone
(732) 257-3755
Fax
(732) 257-5573

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 31TD00367900 (NJ)

Registry record

NPI
1205122520
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jun 2011
Record last updated
7 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.