Levine, Kenneth Benson

Levine, Kenneth Benson is an sole proprietor health care provider with primary practice located at 279 Cambridge Street # 4 Burlington Eye Care, Burlington MA 01803. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Levine, Kenneth Benson can be contacted via phone (781) 272-7733.

Contact Information

Primary practice address
279 Cambridge Street # 4 Burlington Eye Care Burlington MA 01803
Fax: (781) 272-5740
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2745 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X MA2745 Massachusetts

Profile Details

NPI number 1184685729
LBN Legal business name Levine, Kenneth Benson
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jul 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184685729 NPPES
Massachusetts Other W16224 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 0336009 BLUE CROSS BLUE SHIELD
Massachusetts Other 9281808 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 110108180A BLUE CROSS BLUE SHIELD
Massachusetts Other MA2745 BLUE CROSS BLUE SHIELD
Massachusetts Other 04-2677792 BLUE CROSS BLUE SHIELD
Massachusetts Other 56190 BLUE CROSS BLUE SHIELD
Massachusetts Other AS78783190001 BLUE CROSS BLUE SHIELD
Massachusetts Other MA2745 BLUE CROSS BLUE SHIELD

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