Individual provider Active NPI

Marston Curtis Martin, O.D.

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1285607879
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S846TA372 Issued in AL
Practice address
925 Mally St
Tuscaloosa, AL 35405-8785
Phone
(205) 344-5111
Fax
(205) 344-5004
NPI assigned
Feb 13, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 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

Other identifiers 3

IdentifierTypeStateIssuer
3919300001OtherALDMERC
000034313MedicaidAL
051034313OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000968 AL Practitioner - Optometry 8426078676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S846TA372ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Family Eyecare Optometrist CurrentSince Jun 15, 2004 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1285607879",
    "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": {
        "last_name": "MARTIN",
        "first_name": "MARSTON",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S846TA372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "3919300001",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000034313",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051034313",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.