Organization
KENS'EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ALFRED FORNI (OPTICIAN)
(413) 733-0867
Entity
Organization
Contact information
Practice address
41 COURT STREET, WESTFIELD, MA 01085
(413) 562-0763
Mailing address
41 COURT STREET, WESTFIELD, MA 01085
(413) 562-0763
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
—
1532758
—
MA
Enumeration date
10/10/2006
Last updated
12/28/2007
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