Martha Canon, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

009898 Issued in NY

Practice address

1440 Broadway # 10826
New York, NY 10018-2301

Phone

(212) 221-3844

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1023644291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532658",
            "telephone_number": "737-222-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BROADWAY # 10826",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182301",
            "telephone_number": "212-221-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANON",
        "first_name": "MARTHA",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Cannon, A.P.N.
• Nicholas Cannone, FNP
• Margherita Cannova, LMSW
• Peter Daniel Canoll, M.D., PHD
• Chelsea Canon
• Lauren Michelle Canonico, LCSW
• Alexandra Canori Matthews, PT, DPT, PHD
• Kati Creel Canosa, M.S., CCC-SLP
• Rosalie Canosa
• David Brian Canose, PSY.D.

• Optician in New York, NY
• Providers in New York, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.