Kasem Kasem, O.D. Valid NPI

Individual provider · Optometrist · Rockford, IL

NPI

1710726237

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

046.011854 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2024-05-23

Last updated

2024-06-27