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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
1332B00000XDurable Medical Equipment & Medical Supplies41270MA

General Provider Information

NPI Number : 1790821197
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 : DR. PETER J. KELLY
Credential : MD
Telephone Number : 413-284-4481
Provider Enumeration Date : 01/30/2007
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
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1306847462 — KELLY AND VELAZQUEZ EYE CENTER PC
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1699776773 — DENNIS M DORANS OD
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1396731097 — DR. LEONARDO JAVIER VELAZQUEZ M.D.
Practice Location Address:
1504 N MAIN ST
PALMER, MA
01069-1215
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Practice Fax: 413-283-5396
1992800767 — TIMOTHY MURPHY OPTICIAN
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1504 N MAIN ST
PALMER, MA
01069-1215
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1437843398 — KELLY NICOLE POULIOT OD
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Directions to “KELLY AND VELAZQUEZ EYE CENTER PC ” Practice Location

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