Crenshaw, Kevin J.

Crenshaw, Kevin J. is an sole proprietor health care provider with primary practice located at 45 Athol St , Springfield MA 01107. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Crenshaw, Kevin J. can be contacted via phone (413) 627-9290.

Contact Information

Primary practice address
45 Athol St Springfield MA 01107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X 5655 Massachusetts
Eye and Vision Services Providers / Optician 156FX1800X 5655 Massachusetts

Profile Details

NPI number 1811125164
LBN Legal business name Crenshaw, Kevin J.
Credentials DISPENSING OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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