| Organization Name: | KEMBE OPTICAL INC |
| NPI Number: | 1114140381 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD CHARLES FAUST (OWNER) |
| Mailing Address: | 203 Route 206 Chester |
| State: | NJ US |
| Postal Code: | 079300523 |
| Phone Number: | 9088795006 |
| Fax Number: | 9088799653 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |