Individual
KENNETH BENSON LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
279 CAMBRIDGE STREET # 4, BURLINGTON EYE CARE, BURLINGTON, MA 01803
(781) 272-7733
(781) 272-5740
Mailing address
279 CAMBRIDGE STREET # 4, BURLINGTON EYE CARE, BURLINGTON, MA 01803
(781) 272-7733
(781) 272-5740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2745
MA
152W00000X
Optometrist
Primary
MA2745
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336009
—
MA
01
—
04-2677792
UNITED HEALTHCARE INS
MA
05
—
110108180A
—
MA
01
—
56190
OPTICARE
MA
01
—
9281808
PHCS
MA
01
—
AS78783190001
CIGNA HEALTH CARE
MA
01
—
MA2745
AETNA
MA
01
—
W16224
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/31/2006
Last updated
07/17/2018
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