Individual provider Active NPI

Venessa Mae Machac, OD

  • Optometrist
  • Waco, TX
National Provider Identifier
1609763135
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11450TG Issued in TX
Practice address
816 Lake Air Dr
Waco, TX 76710-5745
Phone
(254) 752-0471
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 11450TG TX
Optometrist 152W00000X 11450TG TX Primary

Addresses

Primary practice location

816 Lake Air Dr
Waco, TX 76710-5745

Mailing address

128 Wooded Crest Dr
Woodway, TX 76712-3261
Phone (254) 548-3527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724004454 TX Practitioner - Optometry 9032626023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Eye Associates, PLLCGroup PAC ID 2961625694, 4 clinicians

Practice addresses (Care Compare)

201 Colonade Pkwy
Woodway, TX 76712-6174

201 Colonnade Pkwy
Waco, TX 76712-6174
Phone (254) 752-0471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11450TXMDChiropractor
11450TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Eye Associates, PLLC Optometrist CurrentSince Jul 15, 2025 Accepting new patients

Locations

201 Colonnade Pkwy
Waco, TX 76712
Phone (254) 752-0471

816 Lake Air Dr
Waco, TX 76710
Phone (254) 548-3527

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1609763135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WOODED CREST DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123261",
            "telephone_number": "254-548-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 LAKE AIR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105745",
            "telephone_number": "254-752-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHAC",
        "first_name": "VENESSA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "11450TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11450TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.