Organization
FOUNTAIN SQUARE EYE CARE
Active
Parent organization
MACHA FAMILY EYE CARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACHA FAMILY EYE CARE, PC
Authorized official
RAJENDER MACHA O.D. (PRESIDENT/OWNER)
(765) 649-1200
Entity
Organization
Contact information
Practice address
1429 SHELBY ST, INDIANAPOLIS, IN 46203-1946
(317) 632-9220
Mailing address
1429 SHELBY ST, INDIANAPOLIS, IN 46203-1946
(317) 632-9220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002944A
IN
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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