Individual
MR. PETER MALY
Active
Individual
MR. PETER MALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.O.
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
04MA1011
MA
156FC0801X
Contact Lens Fitter
04MA1011
MA
156FX1800X
Optician
MA4511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535668
MASSHEALTH
MA
Enumeration date
02/15/2007
Last updated
09/11/2025
Update your record
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