NPIMap

Organization Active NPI

Valley Medical Group, P.C.

Doing business as Valley Opticare

  • Eyewear Supplier
  • Florence, MA
National Provider Identifier
1710933296
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VALLEY MEDICAL GROUP, P.C.
Doing business as
Valley Opticare
Practice address
70 Main St
Northampton Health Center
Florence, MA 01062-1466
Phone
(413) 585-5489
Fax
(413) 585-5451
NPI assigned
May 26, 2006
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY MEDICAL GROUP, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul D Carlan, MD
Title
President
Phone
(413) 772-3329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

70 Main St
Northampton Health Center
Florence, MA 01062-1466

Mailing address

PO Box 5700
Belfast, ME 04915-5700
Phone (413) 585-5489

Other identifiers 1

IdentifierTypeStateIssuer
9787151MedicaidMA

Other names 1

  • Valley Opticare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Permanente Me6 organizations share this tax ID, including this one
Part of
Northeast Permanente Me

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1710933296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5700",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700",
            "telephone_number": "413-585-5489",
            "fax_number": "413-585-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "address_2": "NORTHAMPTON HEALTH CENTER",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621466",
            "telephone_number": "413-585-5489",
            "fax_number": "413-585-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL GROUP, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY MEDICAL GROUP, P.C.",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CARLAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-772-3329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Opticare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Opticare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.