Provider Demographics
NPI:1588842207
Name:PASNER, KARA ROSE (OD, MS)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:ROSE
Last Name:PASNER
Suffix:
Gender:F
Credentials:OD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 DWIGHT DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3655
Mailing Address - Country:US
Mailing Address - Phone:732-531-8721
Mailing Address - Fax:
Practice Address - Street 1:26 DWIGHT DR
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3655
Practice Address - Country:US
Practice Address - Phone:732-531-8721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00554100152W00000X
NYT005448152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU49083Medicare UPIN
NYC2A911Medicare PIN