Jorge a. Martinez, MD, PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

M6114 Issued in ID

Legal business name

JORGE A. MARTINEZ, MD, PA

Practice address

1615 12TH Ave Rd Ste B
Nampa, ID 83686-6184

Phone

(208) 498-1700

Fax

(208) 498-1745

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Jorge A Martinez, MD

Title

Owner

Phone

(208) 498-1700

Specialties & licenses 1

Addresses

Other names 1

• Martinez Optical Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1043374812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 12TH AVE RD STE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866184",
            "telephone_number": "208-498-1700",
            "fax_number": "208-498-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 12TH AVE RD STE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866184",
            "telephone_number": "208-498-1700",
            "fax_number": "208-498-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. MARTINEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-498-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "ID",
            "license": "M6114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martinez Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry Jones, HIS
• Donielle Jordan, LPC
• Hayley Jordan, LMSW
• Mallorie Jordan
• Sara Jordan, IS
• Jorge a. Martinez, MD, PA
• Joseph D. Ballenger Jr. DDS PA
• Journey Mental Health Nampa, LLC
• Journeys Hospice, Inc
• Nina Jozelic-Walker, LCSW

• Eyewear Supplier in Nampa, ID
• Providers in Nampa, ID by specialty
• Eyewear Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.