Organization Active NPI

Martin Eyecare, PLLC

  • Optometrist
  • Punta Gorda, FL
National Provider Identifier
1164868865
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4277 Issued in FL
Legal business name
MARTIN EYECARE, PLLC
Practice address
121 E Marion Ave
Punta Gorda, FL 33950-3635
Phone
(941) 883-9044
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Jennifer Gail Martin Maples, O.D.
Title
Owner
Phone
(405) 708-3462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 4277 FL Primary

Addresses

Primary practice location

121 E Marion Ave
Punta Gorda, FL 33950-3635

Mailing address

357 Coldeway Dr
Punta Gorda, FL 33950-5285
Phone (405) 708-3462

National Provider Directory

National Provider Directory

Locations

121 E Marion Ave
Unit 111
Punta Gorda, FL 33950
Phone (941) 833-9044

121 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 883-9044

375 Kings Hwy
Punta Gorda, FL 33983
Phone (941) 625-5008

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1164868865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 COLDEWAY DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505285",
            "telephone_number": "405-708-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503635",
            "telephone_number": "941-883-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "MAPLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GAIL MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-708-3462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.