Individual provider Active NPI

Anthony Martinez, OD

  • Optometrist
  • Brentwood, NY
National Provider Identifier
1073164836
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009059 Issued in NY
Practice address
601 Suffolk Ave
Brentwood, NY 11717-4309
Phone
(855) 295-4144
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009059 NY Primary

Addresses

Primary practice location

601 Suffolk Ave
Brentwood, NY 11717-4309

Mailing address

100 Motor Pkwy Ste 110
Hauppauge, NY 11788-5156
Phone (855) 295-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107002965 NY Practitioner - Optometry 8527490804 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Perry Ave Family Medical Center IncGroup PAC ID 0547365363, 28 clinicians

Practice addresses (Care Compare)

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

5818 5TH Ave
Brooklyn, NY 11220-3820
Phone (718) 439-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Oct 1, 2019 Accepting new patients
5TH Avenue Vision Center LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Eye See You Optometry Optometrist Current Accepting new patients
Stony Brook Ophthalmology, University Faculty Practice Corporation CurrentSince May 1, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Oct 1, 2019 Accepting new patients
Sunny Vision Optometry PC Optometrist Past Accepting new patients
Grand Vision Optometry P.C. Optometrist Past Accepting new patients

Locations

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

5818 5th Ave
Brooklyn, NY 11220
Phone (718) 439-8440

100 Motor Pkwy
Ste 110
Hauppauge, NY 11788

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1073164836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOTOR PKWY STE 110",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885156",
            "telephone_number": "855-295-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174309",
            "telephone_number": "855-295-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTHONY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.