Lebow, Kenneth A

Lebow, Kenneth A is an sole proprietor health care provider with primary practice located at 345 Edwin Dr , Virginia Beach VA 23462-4522. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Lebow, Kenneth A can be contacted via phone (757) 497-5555.

Contact Information

Primary practice address
345 Edwin Dr Virginia Beach VA 23462-4522
Fax: (757) 499-2636
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618001847 Virginia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618000344 Virginia

Profile Details

NPI number 1902892599
LBN Legal business name Lebow, Kenneth A
Credentials O.D., F.A.A.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Sep 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1902892599 NPPES
Virginia Other 006473 BLUE CROSS BLUE SHIELD
Virginia Other VA0000456 BLUE CROSS BLUE SHIELD

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