Kenmore Optical

LBN: Kenmore Optical
Kenmore Optical is an health care organization with primary practice located at 1018 Beacon St Ste 100 , Brookline MA 02446-4058. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Kenmore Optical can be contacted via phone (617) 536-7870, or through O'Shea, Susan via phone (508) 380-8966.

Contact Information

Primary practice address
1018 Beacon St Ste 100 Brookline MA 02446-4058
Phone: (617) 536-7870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Shea, Susan Doctor of Optometry (OD)
Phone: (508) 380-8966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1669062113
LBN Legal business name Kenmore Optical
DBA Doing business as
Authorized official O'Shea, Susan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669062113 NPPES
Massachusetts MEDICAID 1821109703

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