Active NPI
Eric Martin, O.D. and Associates
- Optometrist
- Amherst, OH
National Provider Identifier
1124235148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4768T1572
- Legal business name
- ERIC MARTIN, O.D. AND ASSOCIATES
- Practice address
- 2268 Kresge Dr
Amherst, OH 44001-1260 - Phone
- (440) 282-4418
- Fax
- (440) 282-4446
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Christopher Martin, O.D.
- Title
- Owner
- Phone
- (440) 282-4418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4768T1572 | OH | Primary |
Addresses
Primary practice location
2268 Kresge Dr
Amherst, OH 44001-1260
Mailing address
2268 Kresge Dr
Amherst, OH 44001-1260
Phone (440) 282-4418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0430895 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Eric Martin OD and Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Huron, OH
- NPI 1285841973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Amherst, OH
- NPI 1366415929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124235148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2268 KRESGE DR",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011260",
"telephone_number": "440-282-4418",
"fax_number": "440-282-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2268 KRESGE DR",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011260",
"telephone_number": "440-282-4418",
"fax_number": "440-282-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC MARTIN, O.D. AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-282-4418",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "4768T1572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0430895",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, OH
Sources for this page
- 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.