Organization
KELLY AND VELAZQUEZ EYE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J KELLY (PRESIDENT)
(413) 284-4481
Entity
Organization
Contact information
Practice address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 283-5396
Mailing address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 283-5396
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41270
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13541
HNE
—
01
—
14520
FALLON HEALTHPLAN
MA
01
—
735819
TUFTS HEALTHPLAN
MA
05
—
9739319
—
MA
01
—
C13251
RAILROAD MEDICARE
MA
01
—
M13919
BCBS
MA
01
—
W20291
BCBS ANCILLARY
MA
Enumeration date
08/10/2005
Last updated
12/09/2019
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