Machiela, Douglas John

Machiela, Douglas John is an sole proprietor health care provider with primary practice located at 5493 10Th Ave N , Greenacres FL 33463-2056. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Machiela, Douglas John can be contacted via phone (561) 439-0075.

Contact Information

Primary practice address
5493 10Th Ave N Greenacres FL 33463-2056
Fax: (561) 439-0413
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2245 Florida

Profile Details

NPI number 1700879046
LBN Legal business name Machiela, Douglas John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jul 27th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700879046 NPPES
Florida MEDICAID 078761200

Popular Providers