CHARLTON OPTICAL (NPI# 1962688051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962688051 |
| Entity Type | Organization |
| Organization Name | CHARLTON OPTICAL |
| Practice Address |
109-6 Masonic Home Road Charlton MA 01507 |
| Mailing Address |
Po Box 194 109-6 Masonic Home Road Charlton MA 01507-0194 |
| Practice Telephone | 5082481188 |
| Practice Fax Number | 5082485128 |
| Mailing Telephone | 5082481188 |
| Mailing Fax Number | 5082485128 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. PETER MALY (OWNER) |
| Authorized Official Telephone | 5082481188 |
| Authorized Official Credential | R.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 4511 | MA | Suppliers |
| Street Address |
109-6 MASONIC HOME ROAD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| 1861838997 | Zachary O Waldon | Physician Assistant | 10 N Main St, Charlton, MA 01507 | 2013-05-15 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1699373662 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 420 Attucks Ln, Hyannis, MA 02601-8141 | 2020-10-13 |
| 1619575693 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 495 Hubbard Ave, Pittsfield, MA 01201-3810 | 2020-10-13 |
| 1578161543 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Crown Colony Dr, Quincy, MA 02169-0959 | 2020-10-13 |
| 1346848272 | Onsight Vision, LLC | Eyewear Supplier (Equipment, not the service) | 177 Huntington Ave Ste 1700, #7005, Boston, MA 02115-3165 | 2020-10-13 |
| 1679171755 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 42 Colrain Rd, Greenfield, MA 01301-9625 | 2020-10-12 |
| 1902404148 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 25 Shelley Rd, Haverhill, MA 01835-8033 | 2020-10-10 |
| 1881292027 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1 Highland Common West, Hudson, MA 01749-2048 | 2020-10-10 |
| 1285231878 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 5 Ward St, Revere, MA 02151-1319 | 2020-10-06 |
| 1881200574 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 460 State Rd, N Dartmouth, MA 02747-4308 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| 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.