NPIMap

Organization Active NPI

Jorge a. Martinez, MD, PA

Doing business as Martinez Optical

  • Eyewear Supplier
  • Nampa, ID
National Provider Identifier
1043374812
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
M6114 Issued in ID
Legal business name
JORGE A. MARTINEZ, MD, PA
Doing business as
Martinez Optical
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
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Jorge A Martinez, MDNPI 1922076082
Title
Owner
Phone
(208) 498-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X M6114 ID Primary

Addresses

Primary practice location

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

Mailing address

1615 12TH Ave Rd Ste B
Nampa, ID 83686-6184
Phone (208) 498-1700

Other names 1

  • Martinez Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • 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.