Organization
DOUGLAS J. MACHIELA O.D.P.A.
Active
Other names
Community Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J. MACHIELA O.D. (PRESIDENT)
(561) 439-0075
Entity
Organization
Contact information
Practice address
5493 10TH AVE N, GREENACRES, FL 33463-2056
(561) 439-0075
(561) 439-0413
Mailing address
5493 10TH AVE N, GREENACRES, FL 33463-2056
(561) 439-0075
(561) 439-0413
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC2245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078761200
—
FL
Enumeration date
05/29/2008
Last updated
05/29/2008
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