Active NPI
Bryan Alan Machamer, O.D.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1245356682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001507
- Practice address
- 3419 Walnut St
Philadelphia, PA 19104-3410 - Phone
- (215) 386-5953
- Fax
- (215) 386-3508
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001507 | PA | Primary |
Addresses
Primary practice location
3419 Walnut St
Philadelphia, PA 19104-3410
Mailing address
239 Chestnut St
3Rd Floor
Philadelphia, PA 19106-2813
Phone (215) 386-5953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001507 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chriseyes Inc | Optometrist | Past | Accepting new patients |
| Modern Eye Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1497760805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245356682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 CHESTNUT ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062813",
"telephone_number": "215-386-5953",
"fax_number": "215-386-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043410",
"telephone_number": "215-386-5953",
"fax_number": "215-386-3508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHAMER",
"first_name": "BRYAN",
"middle_name": "ALAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.