Houston, Kevin E

Houston, Kevin E is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Houston, Kevin E can be contacted via phone (508) 334-2527.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-2527
Fax: (774) 442-3687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003242 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 002153 Georgia
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 4864 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 4864 Massachusetts

Profile Details

NPI number 1093854325
LBN Legal business name Houston, Kevin E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 13th, 2023 - about 3 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 1093854325 NPPES
Indiana MEDICAID 283816526A

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