Fountain Square Eye Care
NPI #1043614027 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1043614027
- Entity Type
- Organization
- Organization Name
- Fountain Square Eye Care
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MACHA FAMILY EYE CARE, PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 1429 SHELBY ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46203-1946
- Phone
- (317) 632-9220
Authorized Official
- Name
- RAJENDER MACHA, O.D.
- Title
- PRESIDENT/OWNER
- Phone
- (765) 649-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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