Individual
MARK D KIRSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004071
TUFTS HEALTH PLAN
—
05
—
110014781A
—
MA
01
—
152390
HARVARD PILGRIM HEALTH CA
—
01
—
W16266
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/16/2006
Last updated
01/21/2022
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