| Organization Name: | WALTER J. KASPEREK |
| NPI Number: | 1013038496 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER JOSEPH KASPEREK (OWNER) |
| Mailing Address: | 1100 State Route 222 Cortland |
| State: | NY US |
| Postal Code: | 130451834 |
| Phone Number: | 6077564159 |
| Fax Number: | 6077587827 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |