Organization
MACHA FAMILY EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDER MACHA (OWNER)
(765) 649-1200
Entity
Organization
Contact information
Practice address
1537 S SCATTERFIELD RD, ANDERSON, IN 46016-5766
(765) 649-1200
(765) 649-4040
Mailing address
1537 S SCATTERFIELD RD, ANDERSON, IN 46016-5766
(765) 649-1200
(765) 649-4040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002944A
IN
152W00000X
Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200251550A
—
IN
Enumeration date
08/30/2006
Last updated
06/07/2021
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