Organization
KELLY AND VELAZQUEZ EYE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J. KELLY M.D. (PRESIDENT)
(413) 284-4481
Entity
Organization
Contact information
Practice address
362 SEWALL ST, LUDLOW, MA 01056-2711
(413) 589-7308
(413) 547-8933
Mailing address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 283-5396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
41270
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218430001
DME MEDICARE
MA
01
—
39707
DAVIS VISION
MA
01
—
735819
TUFTS
MA
01
—
MA1270
EYEMED
MA
Enumeration date
01/29/2007
Last updated
12/09/2019
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