Active NPIIndividual providerSole proprietor

Mr. Kevin J Crenshaw, DISPENSING OPTICIAN

Technician/Technologist, Optician in Springfield, Massachusetts

NPI Number1811125164
Practice location
45 Athol St, Springfield, MA 01107
Fax
—
Last updated
June 25, 2009

Kevin J. Crenshaw is a Technician/Technologist, Optician based in Springfield, MA. Kevin J. Crenshaw practices in Springfield, MA and has the professional credentials of DISPENSING OPTICIAN. The NPI Number for Kevin J. Crenshaw is 1811125164 and holds a License No. 5655 (MA). The current practice location address for Kevin J. Crenshaw is 45 Athol St, Springfield, MA 01107 and can be reached out via phone at 413-627-9290.

Provider Profile Details

NPI Number
1811125164
Provider Name
Kevin J. Crenshaw
Credential
DISPENSING OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
45 Athol St, Springfield, MA 01107
Phone Number
413-627-9290
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2009
Last Update Date
June 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Athol St
Springfield, MA 01107
Zip
01107
Phone Number
413-627-9290
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
45 Athol Street
Springfield, MA 01107
City
Springfield
State
MA
Zip
01107
Phone Number
413-627-9290

License Information

License Number (1)
5655
License State (1)
MA
Taxonomy (1)
Technician/Technologist, Contact Lens · 156FC0800X
License Number (2)
5655
License State (2)
MA
Taxonomy (2)
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

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

Other Technician/Technologist, Opticians near Springfield, MA

View all Technician/Technologist, Opticians in Springfield →

Frequently Asked Questions

What is the NPI number of Mr. Kevin J Crenshaw, DISPENSING OPTICIAN?

The NPI number of Mr. Kevin J Crenshaw, DISPENSING OPTICIAN is 1811125164. It was assigned on June 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin J Crenshaw, DISPENSING OPTICIAN?

Mr. Kevin J Crenshaw, DISPENSING OPTICIAN is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 5655.

Where does Mr. Kevin J Crenshaw, DISPENSING OPTICIAN practice?

The practice location is 45 Athol St, Springfield, MA 01107. The office can be reached at 413-627-9290 (phone).

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 1811125164 directly on the NPPES registry website.

Browse related providers