Fountain Square Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002944A Issued in IN

Legal business name

FOUNTAIN SQUARE EYE CARE

Practice address

1429 Shelby St
Indianapolis, IN 46203-1946

Phone

(317) 632-9220

NPI assigned

Oct 20, 2014

Organization subpart

Yes

Parent organization

MACHA FAMILY EYE CARE, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rajender Macha, O.D.NPI 1316920499

Title

President/Owner

Phone

(765) 649-1200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Macha Family Eye Care PC2 organizations share this tax ID, including this one

Part of

Macha Family Eye Care PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Macha Family Eye Care, PC

  • Optometrist
  • Anderson, IN
  • NPI 1134239825
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Macha Family Eye Care, PC

  • Optometrist
  • Anderson, IN
  • NPI 1134239825
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajender Macha, O.D.

  • Optometrist
  • Anderson, IN
  • NPI 1316920499
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1043614027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031946",
            "telephone_number": "317-632-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031946",
            "telephone_number": "317-632-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN SQUARE EYE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACHA FAMILY EYE CARE, PC",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "MACHA",
        "authorized_official_first_name": "RAJENDER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "765-649-1200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002944A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Donnelly Fought, RD
• David Michael Foulk, MD
• Fountain of Care Inc.
• Fountain of Love Care LLC
• Fountain Square Counseling LLC
• Fountain Square Westend Dental LLC (Westend Dental)
• James Alan Fountain, MD
• Four Seasons Home Care LLC
• Four Seasons Home Health Care LLC
• Four Seasons Transportation Service LLC

• Optometrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.