Maly, Peter
Maly, Peter is an sole proprietor health care provider with primary practice located at 109-6 Masonic Home Road , Charlton MA 01507. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens is his primary health care specialty. Maly, Peter can be contacted via phone (508) 248-1188.Contact Information
Primary practice address
109-6 Masonic Home Road
Charlton MA 01507
Phone: (508) 248-1188
Fax: (508) 248-5128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | 04MA1011 | Massachusetts |
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | 04MA1011 | Massachusetts |
| Eye and Vision Services Providers / Optician | 156FX1800X | MA4511 | Massachusetts |
Profile Details
| NPI number | 1780727743 |
|---|---|
| LBN Legal business name | Maly, Peter |
| Credentials | R.D.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780727743 | NPPES |
| Massachusetts | Other | 1535668 | MASSHEALTH |
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