Kenyon, Jeffrey Steven

Kenyon, Jeffrey Steven is an individual health care provider with primary practice located at 385 Mendon Rd , Woonsocket RI 02895-2477. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kenyon, Jeffrey Steven can be contacted via phone (401) 762-4473.

Contact Information

Primary practice address
385 Mendon Rd Woonsocket RI 02895-2477
Phone: (401) 762-4473
Fax: (401) 765-3261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00533 Rhode Island
Eye and Vision Services Providers / Optometrist 152W00000X 4577 Massachusetts

Profile Details

NPI number 1407954142
LBN Legal business name Kenyon, Jeffrey Steven
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 10th, 2026 - about 8 months 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 1407954142 NPPES
Massachusetts MEDICAID 0709565
Massachusetts Other W16490

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