Active NPIOrganization

Kenmore Optical

Eyewear Supplier (Equipment, not the service) in Boston, Massachusetts

NPI Number1427378629
Practice location
656 Beacon St, Floor 1, Boston, MA 02215-2006
Fax
617-536-5453
Last updated
June 10, 2010

Kenmore Optical is a healthcare organization based in Boston, MA. Kenmore Optical practices in Boston, MA. The NPI Number for Kenmore Optical is 1427378629 and holds a License No. 5148740001 (MA). The current practice location address for Kenmore Optical is 656 Beacon St, Floor 1, Boston, MA 02215-2006 and can be reached out via phone at 617-536-7870 and via fax at 617-536-5453.

Provider Profile Details

NPI Number
1427378629
Provider Name
Kenmore Optical
Provider Entity Type
Organization
Address
656 Beacon St, Floor 1, Boston, MA 02215-2006
Phone Number
617-536-7870
Fax Number
617-536-5453
Primary Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X
Organization Subpart
No
Authorized Official
Dr. Stephen Peter Bochnak, OD · Owner · 617-536-7870
Provider Enumeration Date
June 10, 2010
Last Update Date
June 10, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
656 Beacon St
Floor 1
Boston, MA 02215-2006
City
Boston
Zip
02215-2006
Phone Number
617-536-7870
Fax Number
617-536-5453
Boston, MA 02215Get directions →

Provider Business Mailing Address Details

Address
656 Beacon St
Floor 1
Boston, MA 02215-2006
City
Boston
State
MA
Zip
02215-2006
Phone Number
617-536-7870
Fax Number
617-536-5453

License Information

License Number
5148740001
License State
MA
Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenmore Optical?

The NPI number of Kenmore Optical is 1427378629. It was assigned on June 10, 2010 and is currently active in the NPPES registry.

What is the specialty of Kenmore Optical?

Kenmore Optical is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X), licensed in MA under license number 5148740001.

Where does Kenmore Optical practice?

The practice location is 656 Beacon St, Floor 1, Boston, MA 02215-2006. The office can be reached at 617-536-7870 (phone) or 617-536-5453 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427378629 directly on the NPPES registry website.

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