Active NPI
Richard Lee Martin Jr., O.D.
- Optometrist
- Terre Haute, IN
National Provider Identifier
1003921487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003118A
- Practice address
- 2399 State Road 46 South
Wal-Mart Vision Center
Terre Haute, IN 47803 - Phone
- (812) 872-2537
- Fax
- (812) 872-2539
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003118A | IN | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 18003118A | IN |
Addresses
Primary practice location
2399 State Road 46 South
Wal-Mart Vision Center
Terre Haute, IN 47803
Mailing address
901 Evensview Dr
Greencastle, IN 46135-1105
Phone (765) 653-8245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003118A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RM Vision PC | Optometrist | Past | Accepting new patients |
| RM Vision PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Terre Haute, IN
- NPI 1083942536
-
- Optometrist
- Terre Haute, IN
- NPI 1649408774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1003921487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 EVENSVIEW DR",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461351105",
"telephone_number": "765-653-8245",
"fax_number": "765-653-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2399 STATE ROAD 46 SOUTH",
"address_2": "WAL-MART VISION CENTER",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "47803",
"telephone_number": "812-872-2537",
"fax_number": "812-872-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003118A",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IN",
"license": "18003118A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.