KEVIN J. CRENSHAW DISPENSING OPTICIAN – NPI #1811125164
Technician/Technologist

KEVIN CRENSHAW is a technician located in SPRINGFIELD, MA. NPPES has assigned the NPI number 1811125164 to KEVIN CRENSHAW on June 25, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 156FX1800X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Optician

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN CRENSHAW below.

NPI Profile for
KEVIN J. CRENSHAW

NPI Number
1811125164
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN J. CRENSHAW
Credentials
DISPENSING OPTICIAN
Primary location
45 ATHOL ST
SPRINGFIELD, MA 01107
Phone: (413) 627-9290 Fax:
Mailing address
45 ATHOL STREET
SPRINGFIELD, MA 01107
Phone: (413) 627-9290 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FX1800X
- Technician/Technologist / Optician (Primary)
MA 5655
156FC0800X
- Technician/Technologist / Contact Lens
MA 5655

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.