Thea Martin PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THEA MARTIN PLLC

Doing business as

Mobile4Eyes

Practice address

5407 Bristol Bend CT
Las Vegas, NV 89135-4002

Phone

(702) 675-5935

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sarah A. Martin, OD

Title

Manager

Phone

(702) 675-5935

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mobile4Eyes Doing business as

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1245904739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 BRISTOL BEND CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891354002",
            "telephone_number": "702-675-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 BRISTOL BEND CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891354002",
            "telephone_number": "702-675-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA MARTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-675-5935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250003225",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile4Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile4Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.