NPIMap

Organization Active NPI

Reliant Medical Group

  • Optometrist
  • Webster, MA
National Provider Identifier
1609129253
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RELIANT MEDICAL GROUP
Practice address
344 Thompson Rd
Webster, MA 01570-1509
Phone
(508) 856-9599
NPI assigned
Oct 19, 2012
Organization subpart
Yes
Parent organization
RELIANT MEDICAL GROUP, INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Robin Richman, MD
Title
Chief Medical Officer
Phone
(508) 852-0600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0863058Reliant Medical Group Webster344 Thompson Road, Webster, MA 01570Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fallon Clinic Pharmacy19 organizations share this tax ID, including this one
Part of
Fallon Clinic Pharmacy

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

344 Thompson Rd
Webster, MA 01570
Phone (508) 671-4050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

344 Thompson Rd
Webster, MA 01570-1509

Mailing address

630 Plantation St
Wot 12TH FL, Attn: Medical Staff Services
Worcester, MA 01605-2038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2012.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1609129253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PLANTATION ST",
            "address_2": "WOT 12TH FL, ATTN: MEDICAL STAFF SERVICES",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701509",
            "telephone_number": "508-856-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT MEDICAL GROUP, INC",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "508-852-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.