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
Phone: (781) 272-7733
Fax: (781) 272-5740
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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