Provider Demographics
NPI:1225899495
Name:MACHAT EYE CARE PLLC
Entity Type:Organization
Organization Name:MACHAT EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-710-3611
Mailing Address - Street 1:850 OWENS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-7351
Mailing Address - Country:US
Mailing Address - Phone:561-501-1961
Mailing Address - Fax:
Practice Address - Street 1:6525 CARNEGIE BLVD STE 108
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3532
Practice Address - Country:US
Practice Address - Phone:561-501-1961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty