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Mr. Peter Maly, RDO
Optician in Charlton, Massachusetts
NPI 1780727743

Peter Maly is a Optician based in Charlton, MA and is specialized in Optician. Peter Maly practices in Charlton, MA and has the professional credentials of RDO. The NPI Number for Peter Maly is 1780727743 and holds a License No. 04MA1011 (Massachusetts).

The current practice location address for Peter Maly is 109-6 Masonic Home Road, Charlton, MA and can be reached out via phone at 508-248-1188 and via fax at 508-248-5128.

Location: 109-6 Masonic Home Road, Charlton, MA, 01507-0194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780727743
Provider Name
Peter Maly
Credential
RDO
Provider Entity Type
Individual
Gender
Male
Address
109-6 Masonic Home Road, Charlton, MA, 01507-0194
Phone Number
508-248-1188
Fax Number
508-248-5128
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1535668 01 MA MASSHEALTH
institution
Provider Business Practice Location Address Details
Address
109-6 Masonic Home Road
City
Charlton
State
Massachusetts
Zip
01507
Phone Number
508-248-1188
Fax Number
508-248-5128
person
Provider Business Mailing Address Details
Address
109-6 Masonic Home Road
City
Charlton
State
Massachusetts
Zip
01507
Phone Number
508-248-1188
Fax Number
508-248-5128
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
MA4511 (Massachusetts)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
04MA1011 (Massachusetts)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
04MA1011 (Massachusetts)
Definition
Definition to come...
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