MR. KEVIN J. CRENSHAW (NPI# 1811125164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811125164 |
| Entity Type | Individual |
| Full Name | MR. KEVIN J. CRENSHAW |
| Credential | DISPENSING OPTICIAN |
| Practice Address |
45 Athol St Springfield MA 01107 |
| Mailing Address |
45 Athol Street Springfield MA 01107 |
| Practice Telephone | 4136279290 |
| Mailing Telephone | 4136279290 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
5655 | MA | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5655 | MA | Eye and Vision Services Providers |
| Street Address |
45 ATHOL ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1306300884 | National Vision Inc | Technician/Technologist | 2880 Gateway St Ste 302, Springfield, OR 97477-7708 | 2019-01-29 |
| 1376837682 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1624 N Bechtle Ave, Springfield, OH 45504-1572 | 2011-06-03 |
| 1497981385 | America's Best Contact & Eyeglasses | Technician/Technologist | 3207 S Veterans Pkwy, Springfield, IL 62704-7425 | 2009-06-05 |
| 1548401649 | Shelia Gibbs | Technician/Technologist | 1514 Allen St, Springfield, MA 01118-1817 | 2009-03-19 |
| 1295930758 | Gary Paul Feen | Technician/Technologist | 289 Bridge Street, Springfield, MA 01103 | 2007-06-15 |
| 1932234341 | Mark R Heffington | Technician/Technologist | 1550 E Battlefield St Ste J, Springfield, MO 65804-3700 | 2007-02-23 |
| 1689720328 | Edmund A Hasenjager | Technician/Technologist | 352 Cooley St, Springfield, MA 01128-1144 | 2007-01-26 |
| 1730292574 | Wal-mart Stores East, Lp | Technician/Technologist | 1600 N Bechtle Ave, Springfield, OH 45504-1572 | 2006-08-16 |
| 1912300260 | Eric Eisinger | Technician/Technologist | 932 W Columbia St, Springfield, OH 45504-2738 | 2014-10-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on MR. KEVIN J. CRENSHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.