CHARLTON OPTICAL NPI 1962688051

NPI Information

NPI: 1962688051
Provider Name: CHARLTON OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
109-6 MASONIC HOME ROAD
CHARLTON, MA
ZIP 01507
Phone: (508) 248-1188
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CHARLTON OPTICAL is an eyewear supplier in Charlton, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CHARLTON OPTICAL NPI is 1962688051. The provider is registered as an organization entity type.

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 provider's authorized official is Peter Maly .
The authorized official title is Owner and has the following contact phone number (508) 248-1188.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 1/18/2008.

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	332H00000X	Eyewear Supplier		4511	MASSACHUSETTS	Yes

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	0842440001	MEDICARE NSC	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: 4/28/2024

NPI Synchronization or Removal

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