RELIANT MEDICAL GROUP (NPI# 1700139334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700139334 |
| Entity Type | Organization |
| Organization Name | RELIANT MEDICAL GROUP |
| Practice Address |
110 Charlton Rd Sturbridge MA 01566-1538 |
| Mailing Address |
630 Plantation St Wot 12th Fl, Attn: Medical Staff Services Worcester MA 01605-2038 |
| Practice Telephone | 5083473300 |
| Mailing Telephone | 5083685424 |
| Mailing Fax Number | 5083685530 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | DR. ROBIN RICHMAN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5088520600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RELIANT MEDICAL GROUP, INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982957031 | Reliant Medical Group | Optometrist | 123 Summer St Ste 155, Worcester, MA 01608-1216 | 2012-10-25 |
| 1871846428 | Reliant Medical Group | Optometrist | 64 Boyden Rd, Holden, MA 01520-2570 | 2012-10-19 |
| 1609129253 | Reliant Medical Group | Optometrist | 344 Thompson Rd, Webster, MA 01570-1509 | 2012-10-19 |
| 1326391962 | Reliant Medical Group | Optometrist | 370 Lunenburg St, Fitchburg, MA 01420-4541 | 2012-10-19 |
| 1114270857 | Reliant Medical Group | Optometrist | 900 Union St, Westborough, MA 01581-5408 | 2012-10-18 |
| 1831442581 | Reliant Medical Group | Optometrist | 115 Cedar St, North Bldg, Milford, MA 01757-5118 | 2012-10-18 |
| 1134337116 | Reliant Medical Group | Rehabilitation Practitioner | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RELIANT MEDICAL GROUP, INC. | 5 Neponset St, Worcester, MA 01606-2714 |
| Massachusetts Corporations | RELIANT MEDICAL GROUP, INC. | 100 Front St., Worcester, MA 01608 |
| Street Address |
110 CHARLTON RD |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679525968 | Richard Alexander Hartwell | Optometrist | 110 Charlton Rd, Suite 2, Sturbridge, MA 01566-1538 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| Find all providers in zip 01566 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679525968 | Richard Alexander Hartwell | Optometrist | 110 Charlton Rd, Suite 2, Sturbridge, MA 01566-1538 | 2006-05-16 |
| 1356326532 | Elizabeth Prokos Berry | Optometrist | 135 Main St, Sturbridge, MA 01566-1569 | 2005-12-12 |
| 1750776589 | Dr. Elizabeth Prokos Berry | Optometrist | 135 Main St, Suite 5, Sturbridge, MA 01566-1569 | 2015-03-30 |
| 1891122859 | Anna Spitserev | Optometrist | 135 Main St, Sturbridge, MA 01566-1569 | 2013-10-03 |
| 1548574361 | Lien-thu Van Dao | Optometrist | 100 Charlton Rd, Center At Hobbs Brook, Sturbridge, MA 01566-1505 | 2010-08-04 |
| 1962575134 | Arthur Stephen Tieri | Optometrist | 113 Main St, Sturbridge, MA 01566-1280 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336030 | Nicole Leo | Optometrist | 18 Dana Rd, Boxford, MA 01921-2661 | 2020-11-06 |
| 1063019446 | Appleton Eye Associates PC | Optometrist | 21 Market Street, Suite 100, Ipswitch, MA 01938 | 2020-10-08 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1750994448 | Compassion Eye Care LLC | Optometrist | 127 Eastern Ave Ste 5, Gloucester, MA 01930-1870 | 2020-08-24 |
| 1487264404 | Arash Namiranian | Optometrist | 18 Ashland Woods Ln, Ashland, MA 01721-4418 | 2020-08-04 |
| 1588272181 | Angela Ciocca Od Pllc | Optometrist | 1176 Memorial Dr Ste B, Chicopee, MA 01020-3958 | 2020-07-20 |
| 1588289078 | Ying Wu-freeman | Optometrist | 30 Converse Ave, Malden, MA 02148-7508 | 2020-06-10 |
| 1881218634 | Alexa Caruso | Optometrist | 1191 Chestnut St Ste 707, Newton, MA 02464-1351 | 2020-06-07 |
| 1811510795 | William Cheon | Optometrist | 84 Matheson Dr, Marlborough, MA 01752-4597 | 2020-05-26 |
| 1790314557 | Kirsten Brady | Optometrist | 10 Fairfield St Apt 3, Boston, MA 02116-1666 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
Please comment or provide details below to improve the information on RELIANT MEDICAL GROUP.
| 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.