Organization
KELLY AND VELAZQUEZ EYE CENTER PC
Active
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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