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Mr. Kevin J. Crenshaw, DISPENSINGOPTICIAN
Optician in Springfield, Massachusetts
NPI 1811125164

Kevin J. Crenshaw is a Optician based in Springfield, MA and is specialized in Optician. Kevin J. Crenshaw practices in Springfield, MA and has the professional credentials of DISPENSINGOPTICIAN. The NPI Number for Kevin J. Crenshaw is 1811125164 and holds a License No. 5655 (Massachusetts).

The current practice location address for Kevin J. Crenshaw is 45 Athol St, Springfield, MA and can be reached out via phone at 413-627-9290.

Location: 45 Athol St, Springfield, MA, 01107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811125164
Provider Name
Kevin J. Crenshaw
Credential
DISPENSINGOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
45 Athol St, Springfield, MA, 01107
Phone Number
413-627-9290
Fax Number
Provider Enumeration Date
06/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45 Athol St
City
Springfield
State
Massachusetts
Zip
01107
Phone Number
413-627-9290
Fax Number
person
Provider Business Mailing Address Details
Address
45 Athol St
City
Springfield
State
Massachusetts
Zip
01107
Phone Number
413-627-9290
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
5655 (Massachusetts)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
5655 (Massachusetts)
Definition
Definition to come...
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