Martin Eye Clinic Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

01848 Issued in IA

Legal business name

MARTIN EYE CLINIC INC

Doing business as

Martin Eye Clinic

Practice address

513 1St Ave
Vinton, IA 52349-1749

Phone

(319) 472-4741

Fax

(319) 472-2827

NPI assigned

Apr 25, 2007

Last updated

Sep 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael G Martin, ODNPI 1780685719

Title

Optometrist

Phone

(319) 472-4741

Specialties & licenses 1

Addresses

Other names 1

• Martin Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Martin, OD

  • Optometrist
  • Vinton, IA
  • NPI 1780685719
  Medicare reassignment NPD Authorized official
• Cory L Bower, OD

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1407848203
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1275752156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 1ST AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491749",
            "telephone_number": "319-472-4741",
            "fax_number": "319-472-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1ST AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491749",
            "telephone_number": "319-472-4741",
            "fax_number": "319-472-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "319-472-4741",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lutheran Home for the Aged Association-East (Vinton Lutheran Home)
• Kristin Lutz, PTA
• Wesley Corliss Lyons, PA-C
• Margaret K Mangold, M.D.
• Lisa Ann Marter, OTR/L
• Michael G Martin, OD
• Kelli Marie McClintock, COTA/L
• Cindy L McCoy, RPH
• Courtney McIntire, ARNP
• Rylee McLean

• Optometrist in Vinton, IA
• Providers in Vinton, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.