Active NPI
S.a.Martin, Jr. OD PC
- Optometrist
- Farmville, VA
National Provider Identifier
1265692131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000089
- Legal business name
- S.A.MARTIN, JR. OD PC
- Practice address
- 201 A St
Suite B
Farmville, VA 23901-1613 - Phone
- (434) 392-8355
- Fax
- (434) 392-3042
- NPI assigned
- Jun 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel A. Martin Jr., OD PC
- Title
- Optometrist/President
- Phone
- (434) 392-8355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000089 | VA | Primary |
Addresses
Primary practice location
201 A St
Suite B
Farmville, VA 23901-1613
Mailing address
201 A St
Suite B
Farmville, VA 23901-1613
Phone (434) 392-8355
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009203095 | Medicaid | VA | |
| 8043928355 | Other | VA | VSP |
| 540001094 | Other | VA | MEDICARE RAIL ROAD |
| 075554 | Other | VA | BLUE CROSS BLUE SHIELD |
| 6271 | Other | VA | DAVIS VISION |
| VA0089 | Other | VA | BLUE VIEW/EYE MED |
National Provider Directory
National Provider DirectoryLocations
201 A St
#B
Farmville, VA 23901
Phone (434) 392-8355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1265692131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 A ST",
"address_2": "SUITE B",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239011613",
"telephone_number": "434-392-8355",
"fax_number": "434-392-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 A ST",
"address_2": "SUITE B",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239011613",
"telephone_number": "434-392-8355",
"fax_number": "434-392-3042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.A.MARTIN, JR. OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-13",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
"authorized_official_telephone_number": "434-392-8355",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD PC"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618000089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009203095",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "8043928355",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "540001094",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "075554",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "6271",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE VIEW/EYE MED",
"identifier": "VA0089",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.