MEDICARE: JERRY IRVING MACHER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	35-041094	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134128861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY IRVING MACHER MD

Provider Business Mailing Address
First Line	:	6880 W SNOWVILLE RD
Second Line	:	STE 215
City	:	BRECKSVILLE
State	:	OH
Zip	:	44141-3254
Country	:	US
Telephone Number	:	440-656-5050
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MCKINLEY AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44703-2463
Country	:	US
Telephone Number	:	330-452-8884
Fax Number	:	330-452-2404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	03/04/2022

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Directions to “ JERRY IRVING MACHER MD” Practice Location

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