Healthcare Provider Details

I. General information

NPI: 1013399369
Provider Name (Legal Business Name): MACIAS FAMILY EYE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9185 MAGNOLIA AVE STE 300
RIVERSIDE CA
92503-3801
US

IV. Provider business mailing address

9185 MAGNOLIA AVE STE 300
RIVERSIDE CA
92503-3801
US

V. Phone/Fax

Practice location:
  • Phone: 909-756-9300
  • Fax:
Mailing address:
  • Phone: 951-418-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License NumberA86793
License Number StateCA

VIII. Authorized Official

Name: DR. EDUARDO PEDRO MACIAS
Title or Position: PRESIDENT
Credential: MD
Phone: 909-756-9300