Individual
DR. JEFFREY STEVEN KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
385 MENDON RD, WOONSOCKET, RI 02895-2477
(401) 762-4473
(401) 765-3261
Mailing address
385 MENDON RD, WOONSOCKET, RI 02895-2477
(508) 994-1400
(508) 910-2212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4577
MA
152W00000X
Optometrist
ODTG00533
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709565
—
MA
01
—
W16490
B/C B/S OF MASS
MA
Enumeration date
09/20/2006
Last updated
02/10/2026
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