RELIANT MEDICAL GROUP, INC
NPI 1063765600
Optometrist in Auburn, MA

Q: What is Reliant Medical Group, Inc's NPI number?

The NPI number for Reliant Medical Group, Inc is 1063765600. It was assigned to this organization in the NPPES registry on October 19, 2012.

Q: What is Reliant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 19, 2012CLIA Certified · 4 labs

385 SOUTHBRIDGE ST, AUBURN, MA 01501(508) 832-9621 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2019, Mar 3, 2019 (2 updates tracked since 2019).

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About Reliant Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RELIANT MEDICAL GROUP, INC (NPI 1063765600) is a healthcare organization registered as an optometrist in Auburn, Massachusetts and active in the NPI registry since October 2012. The organization holds 4 active CLIA laboratory certificates and lists Tarek Elsawy, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1063765600

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameRELIANT MEDICAL GROUP, INC

Location Address385 SOUTHBRIDGE STAuburn, MA 01501-2498

Mailing Address5 Neponset St, Wot 2nd Fl, Ste C203Worcester, MA 01606-2714 · (508) 832-9621

Phone(508) 832-9621

Organization SubpartYes

Authorized OfficialTarek ElsawyPresident & Ceo · (508) 852-0600

Enumeration DateOctober 19, 2012

Last NPPES UpdateNovember 11, 20192 updates tracked since enumeration

✔ NPI 1063765600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

385 SOUTHBRIDGE ST, Auburn, MA 01501

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D0694926

Reliant Medical Group Neponset St Dermatology · Worcester, MA

Active · expires Jan 30, 2028

CLIA Number22D0694926

Laboratory TypePhysician Office

Certificate Effective DateJanuary 31, 2026

Certificate Expiration DateJanuary 30, 2028

Laboratory DirectorDr. Anita Deshpande

Laboratory Phone(508) 460-3263

Laboratory LocationReliant Medical Group Neponset St Dermatology5 Neponset St, Worcester, MA 01606

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 22D2167067

Reliant Medical Group Neponset St · Worcester, MA

Active · expires Mar 6, 2027

CLIA Number22D2167067

Laboratory TypePhysician Office

Certificate Effective DateMarch 7, 2025

Certificate Expiration DateMarch 6, 2027

Laboratory DirectorWendy J. Bergman

Laboratory Phone(508) 460-3263

Laboratory LocationReliant Medical Group Neponset St5 Neponset Street, Worcester, MA 01606

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D1104494

Reliant Medical Group Auburn · Auburn, MA

Active · expires Jul 24, 2027

CLIA Number22D1104494

Laboratory TypePhysician Office

Certificate Effective DateJuly 25, 2025

Certificate Expiration DateJuly 24, 2027

Laboratory DirectorKelly M. Manchester

Laboratory Phone(508) 460-3263

Laboratory LocationReliant Medical Group Auburn4 Brotherton Way, Auburn, MA 01501

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2153875

Reliant Medical Group Endocrinology · Worcester, MA

Active · expires Aug 30, 2026

CLIA Number22D2153875

Laboratory TypePhysician Office

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorChristine A. Mathai

Laboratory Phone(508) 425-6536

Laboratory LocationReliant Medical Group Endocrinology1 Eaton Pl 3rd Fl, Worcester, MA 01606

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBBORAH E. SMYTH PHD

Psychologist