Provider Demographics
NPI:1790226538
Name:CS ASSETS LLC
Entity Type:Organization
Organization Name:CS ASSETS LLC
Other - Org Name:VIZIO OPTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:KOLNIK
Authorized Official - Last Name:OD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-243-3937
Mailing Address - Street 1:11 HARVARD STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-739-4141
Mailing Address - Fax:617-243-3935
Practice Address - Street 1:11 HARVARD STREET
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7904
Practice Address - Country:US
Practice Address - Phone:617-739-4141
Practice Address - Fax:617-243-3935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3433152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty