FOUNTAIN SQUARE EYE CARE
NPI 1043614027
Optometrist in Indianapolis, IN
About Fountain Square Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNTAIN SQUARE EYE CARE (NPI 1043614027) is a healthcare organization registered as an optometrist in Indianapolis, Indiana and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Rajender Macha, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2120073
Fountain Square Eye Care · Indianapolis, INOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fountain Square Eye Care's NPI number?
The NPI number for Fountain Square Eye Care is 1043614027. It was assigned to this organization in the NPPES registry on October 20, 2014.
Where is Fountain Square Eye Care located?
Fountain Square Eye Care is located at 1429 Shelby St, Indianapolis, IN 46203. The listed phone number is (317) 632-9220.
What is Fountain Square Eye Care's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Does Fountain Square Eye Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2120073) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Fountain Square Eye Care accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Fountain Square Eye Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fountain Square Eye Care was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fountain Square Eye Care · NPI 1043614027
Optometrist organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since October 20, 2014.
## Identity
- **NPI:** 1043614027 (Entity type: Organization)
- **Enumerated:** October 20, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Macha Family Eye Care, Pc)
- **Authorized official:** Rajender Macha, PRESIDENT/OWNER
## Practice location
- **Address:** 1429 SHELBY ST, Indianapolis, IN 46203-1946
- **Phone:** (317) 632-9220
## Record status
- **NPPES last updated:** October 20, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043614027) · Data from the CMS NPPES public registry.