Martindale & Martindale PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

461 Issued in MS

Legal business name

MARTINDALE & MARTINDALE PA

Practice address

201 N Main St
Ripley, MS 38663-2027

Phone

(662) 837-7186

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Martindale, ODNPI 1134226723

Title

Pres

Phone

(662) 837-7186

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Mark W Martindale, O.D.

  • Optometrist
  • Ripley, MS
  • NPI 1134226723
  Authorized official Same address or phone

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083743017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632027",
            "telephone_number": "662-837-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINDALE & MARTINDALE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "662-837-7186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087830",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011572",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Jean Lusby, LSW
• Mag Medical & Medispa, LLC
• Magnolia State Family Medicine, LLC
• Beth March, MSW
• Carter Bailey Martin, RN
• Mark W Martindale, O.D.
• Sarah Leann Martindale, RPH
• Alisha Mason, FNP-C
• Jayna Locke McBride, MS CCC-SLP
• Eddie J McCafferty

• Optometrist in Ripley, MS
• Providers in Ripley, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.