KEVIN DIAZ NPI 1164822516

NPI Information

  • NPI: 1164822516
  • Provider Name: KEVIN DIAZ
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 40 ENON ST
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 922-5996

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NPI Details

Kevin Diaz is an optician technician technologist in Beverly, MA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Kevin Diaz NPI is 1164822516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 ENON ST
BEVERLY, MA
ZIP 01915-168
Phone: (978) 922-5996

The enumeration date for this NPI number is 9/3/2014 and was last updated on 9/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician4263MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1156FX18004MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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