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NPI Code Detail

MEDICARE: KELLY AND VELAZQUEZ EYE CENTER PC

MEDICARE: KELLY AND VELAZQUEZ EYE CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician41270MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7C13251OTHERMARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W20291OTHERMABCBS ANCILLARY
2M13919OTHERMABCBS
313541OTHERHNE
4735819OTHERMATUFTS HEALTHPLAN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
614520OTHERMAFALLON HEALTHPLAN

General Provider Information

NPI Number : 1306847462
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELLY AND VELAZQUEZ EYE CENTER PC
Provider Business Mailing Address
First Line : 1504 N MAIN ST
Second Line :
City : PALMER
State : MA
Zip : 01069-1215
Country : US
Telephone Number : 413-283-3511
Fax Number : 413-283-5396
Provider Business Practice Location Address
First Line : 1504 N MAIN ST
Second Line :
City : PALMER
State : MA
Zip : 01069-1215
Country : US
Telephone Number : 413-283-3511
Fax Number : 413-283-5396
Authorized Official
Title or Position : PRESIDENT
Name : PETER J KELLY
Credential :
Telephone Number : 413-284-4481
Provider Enumeration Date : 08/10/2005
Last Update Date : 12/09/2019

Similar Medicare Providers

1649271883 — PETER J KELLY MD
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
Practice Phone: 413-283-3511
Practice Fax: 413-283-5396
1699776773 — DENNIS M DORANS OD
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
Practice Phone: 413-283-3511
Practice Fax: 413-283-5396
1396731097 — DR. LEONARDO JAVIER VELAZQUEZ M.D.
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
Practice Phone: 413-283-3511
Practice Fax: 413-283-5396
1992800767 — TIMOTHY MURPHY OPTICIAN
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
Practice Phone: 413-283-3511
Practice Fax: 413-283-5396
1790821197 — KELLY AND VELAZQUEZ EYE CENTER PC
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
Practice Phone: 413-283-3511
Practice Fax: 413-283-5396
1437843398 — KELLY NICOLE POULIOT OD
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
Practice Phone: 413-283-3511
Practice Fax:

Directions to “KELLY AND VELAZQUEZ EYE CENTER PC ” Practice Location

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