NPI 1366045833

Richard Kubynin, NJOPTICIAN

Practitioner Optician Old Bridge, NJ

Practice location

Address: 2553 County Rd 516, Old Bridge, NJ 08857-1881
Phone: (732) 890-3017
Mailing address: 50 Dortmunder Dr, Manalapan, NJ 07726-3800

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 31TD00405600 (NJ)

Other Technician/Technologist providers in New Jersey →

Registry record

NPI: 1366045833
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2020
Record last updated: 18 Nov 2020

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.