Mark Machen, OD
Individual provider Active NPI Optometrist · Marietta, GA
NPI 1740700707 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1740700707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 003025 (GA)
- Practice address
- 3535 Roswell Rd Ste 8
Marietta, GA 30062-8827 - Phone
- (678) 560-8065
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Windward Eye Care
Practice addresses (Care Compare)
5315 Windward Pkwy
F
Alpharetta, GA 30004-8915
Phone (678) 393-2025
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170817002982 | GA | Practitioner - Optometry | 4183996671 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003025 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle View Eye Care, LLC | Optometrist | Current |
Accepting new patients |
| Windward Eye Care, Inc. | Optometrist | Current |
Accepting new patients |
| Map Eyes LLC | Optometrist | Current |
Accepting new patients |
| Windward Eye Care | Optometrist | Current |
Accepting new patients |
| Eecarman OD PC | Optometrist | Past |
Accepting new patients |
Locations
2725 Old Milton Pkwy
Ste B
Alpharetta, GA 30009
Phone (770) 475-1777
5315 Windward Pkwy
#F
Alpharetta, GA 30004
Phone (678) 393-2025
5315 Windward Pkwy
Ste F
Alpharetta, GA 30004
Phone (678) 393-2025
1211 Bald Ridge Marina Rd
Cumming, GA 30041
Phone (470) 239-6620
3535 Roswell Rd
Ste 8
Marietta, GA 30062
Phone (678) 560-8065
4008 Mundy Mill Rd
Oakwood, GA 30566
Phone (770) 534-5305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 003025 | GA | Yes |
Addresses
Primary practice location
3535 Roswell Rd Ste 8
Marietta, GA 30062-8827
Mailing address
3535 Roswell Rd Ste 8
Marietta, GA 30062-8827
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.