# JONATHAN I MACY M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Macy Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386745669
- **Authorized official:** JONATHAN ISAAC MACY M.D. (PRESIDENT)
- **Authorized official phone:** (310) 657-2777

## Contact information

- **Practice address:** 8635 W 3RD ST STE 360W, LOS ANGELES, CA 90048-6149
- **Practice address phone:** (310) 657-2777
- **Practice address fax:** (310) 657-0356
- **Mailing address:** 8635 W 3RD ST STE 360W, LOS ANGELES, CA 90048-6149
- **Mailing address phone:** (310) 657-2777
- **Mailing address fax:** (310) 657-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G35551 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0086730 | — | CA |