Organization
KENMORE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PETER BOCHNAK OD (OWNER)
(617) 536-7870
Entity
Organization
Contact information
Practice address
656 BEACON ST, FLOOR 1, BOSTON, MA 02215-2006
(617) 536-7870
(617) 536-5453
Mailing address
656 BEACON ST, FLOOR 1, BOSTON, MA 02215-2006
(617) 536-7870
(617) 536-5453
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5148740001
MA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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