person
Kevin Diaz
Optician in Beverly, Massachusetts
NPI 1164822516

Kevin Diaz is a Optician based in Beverly, MA and is specialized in Optician. Kevin Diaz practices in Beverly, MA. The NPI Number for Kevin Diaz is 1164822516 and holds a License No. 4263 (Massachusetts).

The current practice location address for Kevin Diaz is 40 Enon St, Beverly, MA and can be reached out via phone at 978-922-5996. You can also correspond with Kevin Diaz through the mailing address at 40 ENON ST, BEVERLY, MA - 01915-1168 (mailing address contact number: 978-922-5996).

Location: 40 Enon St, Beverly, MA, 01915-1168
person
Provider Profile Details
NPI Number
1164822516
Provider Name
Kevin Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 Enon St, Beverly, MA, 01915-1168
Phone Number
978-922-5996
Fax Number
Provider Enumeration Date
09/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156FX18004 05 MA
institution
Provider Business Practice Location Address Details
Address
40 Enon St
City
State
Zip
01915-1168
Phone Number
978-922-5996
Fax Number
person
Provider Business Mailing Address Details
Address
40 Enon St
City
State
Zip
01915-1168
Phone Number
978-922-5996
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
4263 (Massachusetts)
Definition
Definition to come...
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