Douglas John Machiela, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2245 Issued in FL

Practice address

5493 10TH Ave N
Greenacres, FL 33463-2056

Phone

(561) 439-0075

Fax

(561) 439-0413

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas J. Machiela O.D.P.a.

  • Eyewear Supplier
  • Greenacres, FL
  • NPI 1285892992
  NPD (past) Authorized official

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1700879046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 VALLEY PARK WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672333",
            "telephone_number": "561-641-5741"
        },
        {
            "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": {
        "last_name": "MACHIELA",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078761200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.