Martin Eye Clinic Inc
Organization Active NPI Optometrist · Vinton, IA
NPI 1275752156 · NPPES record last updated Sep 26, 2017
Key facts
- NPI
- 1275752156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 01848 (IA)
- Legal business name
- MARTIN EYE CLINIC INC
- Practice address
- 513 1St Ave
Vinton, IA 52349-1749 - Phone
- (319) 472-4741
- Fax
- (319) 472-2827
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael G Martin, OD
- Title
- Optometrist
- Phone
- (319) 472-4741
Practitioners 2
-
Michael G Martin, OD
-
Cory L Bower, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Martin Eye Clinic Inc |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170911001284 | IA | DME Supplier - Physician - Optometrist | 1759654940 | Practice locations: Vinton, IA |
| O20171129003267 | IA | Part B Supplier - Clinic/Group Practice | 1759654940 |
Receives reassigned benefits from 1 practitioner Practice locations: Vinton, IA |
National Provider Directory
Locations
513 1st Ave
Vinton, IA 52349
Phone (319) 472-4741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 01848 | IA | Yes |
Addresses
Primary practice location
513 1St Ave
Vinton, IA 52349-1749
Mailing address
513 1St Ave
Vinton, IA 52349-1749
Phone (319) 472-4741
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082552 | Medicaid | IA |
Other names
- Martin Eye Clinic
Other providers in Vinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.