Organization Active NPI

Douglas J. Machiela O.D.P.a.

  • Eyewear Supplier
  • Greenacres, FL
National Provider Identifier
1285892992
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2245 Issued in FL
Legal business name
DOUGLAS J. MACHIELA O.D.P.A.
Practice address
5493 10TH Ave N
Greenacres, FL 33463-2056
Phone
(561) 439-0075
Fax
(561) 439-0413
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Douglas J. Machiela, O.D.NPI 1700879046
Title
President
Phone
(561) 439-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC2245 FL Primary

Addresses

Primary practice location

5493 10TH Ave N
Greenacres, FL 33463-2056

Mailing address

5493 10TH Ave N
Greenacres, FL 33463-2056
Phone (561) 439-0075

Other identifiers 1

IdentifierTypeStateIssuer
078761200MedicaidFL

Other names 1

  • Community Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

5493 10th Ave N
Greenacres, FL 33463
Phone (561) 439-0075

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1285892992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632056",
            "telephone_number": "561-439-0075",
            "fax_number": "561-439-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632056",
            "telephone_number": "561-439-0075",
            "fax_number": "561-439-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J. MACHIELA O.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MACHIELA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078761200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.