Martin R White OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002542 Issued in IN

Legal business name

MARTIN R WHITE OD INC

Practice address

6110 Maplecrest Rd
Fort Wayne, IN 46835-2524

Phone

(260) 486-8833

Fax

(260) 486-8784

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Martin White, O.D.NPI 1003816943

Title

Owner/President

Phone

(260) 486-8833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin R. White, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1003816943
  Medicare reassignment Care Compare group NPD Authorized official
• Mitchell Minix, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1760977193
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1134440183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 MAPLECREST RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352524",
            "telephone_number": "260-486-8833",
            "fax_number": "260-486-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MAPLECREST RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352524",
            "telephone_number": "260-486-8833",
            "fax_number": "260-486-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN R WHITE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "260-486-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M. Marshall, N.P.
• Don A Marshall Jr., MD
• Kathryn K Marshall, RN
• Ainsley Catherine Martignetti
• Martin Eye Clinic, P.C.
• Amani Martin, MS, CCC-SLP
• Ashley N Martin, RBT
• Brad D Martin, O.D.
• Candace Louise Martin, PSY.D.
• Charles Allen Martin

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.