Martin Varela, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011733 Issued in IL

Practice address

5201 W War Memorial Dr Ste 565
Peoria, IL 61615-9280

Phone

(309) 282-1002

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• America'S Best Contacts & Eyeglasses

  • Optician
  • Peoria, IL
  • NPI 1184959777
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1144908153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 RIVER RD",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605459709",
            "telephone_number": "815-600-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W WAR MEMORIAL DR STE 565",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159280",
            "telephone_number": "309-282-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "MARTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark O Vandegraft, PTA
• Aaron Thomas Vangeest
• Heidi M Vanheuklon, LCPC
• Bethany Vanne, L.C.P.C.
• Holly Vannitamby, DO
• Scot L Varness, D.C.
• Elsa L Vazquez Melendez, MD
• Michael H Veeder, MD
• Ralph R. Velazquez Jr., M.D.
• Jane Velez, PSY.D.

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.