MR. PETER MALY (NPI# 1780727743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780727743 |
| Entity Type | Individual |
| Full Name | MR. PETER MALY |
| Credential | R.D.O. |
| Practice Address |
109-6 Masonic Home Road Charlton MA 01507 |
| Mailing Address |
Po Box 194 Charlton MA 01507-0194 |
| Practice Telephone | 5082481188 |
| Practice Fax Number | 5082485128 |
| Mailing Telephone | 5082481188 |
| Mailing Fax Number | 5082485128 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
04MA1011 | MA | Eye and Vision Services Providers |
| X | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
04MA1011 | MA | Eye and Vision Services Providers |
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
MA4511 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSHEALTH | 1535668 | 01 |
| Street Address |
109-6 MASONIC HOME ROAD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962688051 | Charlton Optical | Eyewear Supplier (Equipment, not the service) | 109-6 Masonic Home Road, Charlton, MA 01507 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| 1861838997 | Zachary O Waldon | Physician Assistant | 10 N Main St, Charlton, MA 01507 | 2013-05-15 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 156FC0800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528365053 | Edson Lino | Technician/Technologist | 311 Somerville Ave, Somerville, MA 02143-2914 | 2011-02-18 |
| 1811125164 | Kevin J. Crenshaw | Technician/Technologist | 45 Athol St, Springfield, MA 01107 | 2009-06-25 |
| 1619007333 | Salvatore N Imperato | Technician/Technologist | 395 Main Street South, South Barre, MA 01074 | 2007-03-06 |
| 1922552157 | D&m Optical & Hearing Aid Corp | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2016-08-04 |
| 1538510318 | Leonid Demihovsky | Technician/Technologist | 38 Southbridge St, Worcester, MA 01608-2019 | 2016-06-23 |
| 1871747592 | Barre Opticians Inc. | Technician/Technologist | 395 Main Street South, South Barre, MA 01074 | 2008-11-07 |
Please comment or provide details below to improve the information on MR. PETER MALY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.