MR. PETER MALY R.D.O. NPI 1780727743

NPI Information

NPI: 1780727743
Provider Name: MR. PETER MALY, R.D.O.
Classification: Technician/Technologist - 156FC0800X
Entity Type: Individual

Specialization: Contact Lens

Address:
109-6 MASONIC HOME ROAD
CHARLTON, MA
ZIP 01507
Phone: (508) 248-1188
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MR. Peter Maly, R.D.O. is a contact lens technician technologist in Charlton, MA. The provider is an optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. MR. Peter Maly, R.D.O. NPI is 1780727743. 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:

109-6 MASONIC HOME ROAD
CHARLTON, MA
ZIP 01507
Phone: (508) 248-1188
Fax: (508) 248-5128

The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/8/2007.

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
1	156FC0800X	Technician/Technologist	Contact Lens	04MA1011	MASSACHUSETTS	Yes
2	156FC0801X	Technician/Technologist	Contact Lens Fitter	04MA1011	MASSACHUSETTS	X
3	156FX1800X	Technician/Technologist	Optician	MA4511	MASSACHUSETTS	X

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
1	1535668	OTHER	MASSACHUSETTS	MASSHEALTH
2	0842440001	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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