Organization Active NPI

Martin Family Eyecare

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1225207889
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S846TA372 Issued in AL
Legal business name
MARTIN FAMILY EYECARE
Practice address
925 Mally St
Tuscaloosa, AL 35405-8785
Phone
(205) 344-5111
Fax
(205) 344-5004
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Marston C Martin, ODNPI 1285607879
Title
Optometrist
Phone
(205) 344-5111

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S846TA372 AL Primary

Addresses

Primary practice location

925 Mally St
Tuscaloosa, AL 35405-8785

Mailing address

925 Mally St
Tuscaloosa, AL 35405-8785
Phone (205) 344-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201001002 AL Part B Supplier - Clinic/Group Practice 4981624137 Receives reassigned benefits from 2 practitioners
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

925 Mally St
Tuscaloosa, AL 35405
Phone (205) 344-5111

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1225207889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MALLY ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058785",
            "telephone_number": "205-344-5111",
            "fax_number": "205-344-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MALLY ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058785",
            "telephone_number": "205-344-5111",
            "fax_number": "205-344-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARSTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "205-344-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S846TA372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.