Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mustapha Kaddour

Individual provider Optometrist · NPI 1164814539

Mr. Mustapha Kaddour is an Optometrist in Fairview, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2015

Practice location Address checks out

222 Bergen Blvd Ste 1
Fairview, NJ 07022-1300
Phone: (201) 945-2525
Fax: (201) 945-2528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 27OA00604800 (NJ)

Record details

NPI number1164814539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 23, 2015
Last updated in NPPESFebruary 23, 2015
Mailing address222 Bergen Blvd, Suite 1, Fairview, NJ 07022-1300