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Organization
KENS EYEWEAR INC.
Active
Organization
KENS EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ALFRED FORNI OPTICIAN (OWNER/PRESIDENT)
(413) 733-0867
Entity
Organization
Contact information
Practice address
12 HAMBURG ST, SPRINGFIELD, MA 01107-1327
(413) 733-0867
Mailing address
12 HAMBURG ST, SPRINGFIELD, MA 01107-1327
(413) 733-0867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MA1524
MA
332H00000X
Eyewear Supplier
Primary
MA1524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522604
—
MA
Enumeration date
10/02/2006
Last updated
03/26/2008
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