Individual provider Active NPI

Nick G Martin, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1215939988
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1151 Issued in OK
Practice address
7021 S Memorial Dr
Tulsa, OK 74133-2025
Phone
(918) 250-6766
Fax
(918) 250-8246
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1151 OK Primary

Addresses

Primary practice location

7021 S Memorial Dr
Tulsa, OK 74133-2025

Mailing address

7021 S Memorial Dr
Tulsa, OK 74133-2075
Phone (918) 250-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000416 OK Practitioner - Optometry 5991964934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7021 S Memorial Dr
Suite 248
Tulsa, OK 74133-2075
Phone (918) 250-6766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1151OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Nick Martin Eye Care Center Optometrist CurrentSince Jun 27, 2017 Accepting new patients

Locations

7021 S Memorial Dr
Ste 248
Tulsa, OK 74133
Phone (918) 250-1050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1215939988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332075",
            "telephone_number": "918-250-6766",
            "fax_number": "918-250-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332025",
            "telephone_number": "918-250-6766",
            "fax_number": "918-250-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.