Active NPI
Peter Maly, R.D.O.
- Contact Lens Technician/Technologist
- Charlton, MA
National Provider Identifier
1780727743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Technician/Technologist
- License
- 04MA1011
- Practice address
- 109-6 Masonic Home Road
Charlton, MA 01507 - Phone
- (508) 248-1188
- Fax
- (508) 248-5128
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 04MA1011 | MA | Primary |
| Contact Lens Fitter | 156FC0801X | 04MA1011 | MA | |
| Optician | 156FX1800X | MA4511 | MA |
Addresses
Primary practice location
109-6 Masonic Home Road
Charlton, MA 01507
Mailing address
PO Box 194
Charlton, MA 01507-0194
Phone (508) 248-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1535668 | Other | MA | MASSHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04MA1011 | MA | MD | Contact Lens Fitter |
| MA4511 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlton Optical | Optician | Current | Accepting new patients |
| Renee M Gomez-Chlebica OD LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Sturbridge, MA
- NPI 1841657426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780727743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015070194",
"telephone_number": "508-248-1188",
"fax_number": "508-248-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109-6 MASONIC HOME ROAD",
"city": "CHARLTON",
"state": "MA",
"postal_code": "01507",
"telephone_number": "508-248-1188",
"fax_number": "508-248-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALY",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "R.D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "MA",
"license": "04MA1011",
"primary": true
},
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "MA",
"license": "04MA1011",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "MA4511",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "1535668",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.