RELIANT MEDICAL GROUP, INC
NPI 1063765600
Optometrist in Auburn, MA
- Organization
- Optometrist
- CLIA Number: 22D1104494
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-24-2027
About RELIANT MEDICAL GROUP, INC
This page provides the complete NPI Profile along with additional information for Reliant Medical Group, Inc, a provider established in Auburn, Massachusetts operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1063765600 assigned on October 2012. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Reliant Medical Group, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tarek Elsawy Md (President & Ceo)
- NPI
- 1063765600 Verify this NPI
- Provider Name
- RELIANT MEDICAL GROUP, INC
- Entity Type
- Organization
- Location Address
- 385 SOUTHBRIDGE ST AUBURN, MA 01501
- Location Phone
- (508) 832-9621
- Mailing Address
- 5 NEPONSET ST WOT 2ND FL, STE C203 WORCESTER, MA 01606
- Mailing Phone
- (508) 832-9621
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-19-2012
- Last Update Date
- 11-11-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D1104494
- Facility Type
- Physician Office
- Certificate Effective Date
- July 25, 2025
- Certificate Expiration Date
- July 24, 2027
- Laboratory Director
- KELLY M. MANCHESTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Reliant Medical Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
AUBURN, MA 01501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063765600, enumerated as an "organization" on October 19, 2012.
The provider is located at 385 SOUTHBRIDGE ST AUBURN, MA 01501 and the phone number is (508) 832-9621.
Optometrist with taxonomy code 152W00000X.
