Kenmore Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5148740001 Issued in MA

Legal business name

KENMORE OPTICAL

Practice address

656 Beacon St
Floor 1
Boston, MA 02215-2006

Phone

(617) 536-7870

Fax

(617) 536-5453

NPI assigned

Jun 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Peter Bochnak, OD

Title

Owner

Phone

(617) 536-7870

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1427378629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 BEACON ST",
            "address_2": "FLOOR 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152006",
            "telephone_number": "617-536-7870",
            "fax_number": "617-536-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 BEACON ST",
            "address_2": "FLOOR 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152006",
            "telephone_number": "617-536-7870",
            "fax_number": "617-536-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "BOCHNAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-536-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "5148740001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen A Keneck, MD
• Mara Kenger, M.D.
• Prachee Kishor Keni
• Sara Mae Kenimer
• Kaitlyn Kenjesky, PHARMD
• Amanda Marie Kenn, RN
• Alexandra Cain Kenna, PH.D.
• John A Kenna, NP
• Margaret A Kenna, M.D.
• Brooke Tatiana Kennamer, DO

• Eyewear Supplier in Boston, MA
• Providers in Boston, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.