Organization Active NPI

Eric Martin, O.D. and Associates

  • Optometrist
  • Huron, OH
National Provider Identifier
1285841973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4768T1572 Issued in OH
Legal business name
ERIC MARTIN, O.D. AND ASSOCIATES
Practice address
421 Berlin Rd Unit B
Huron, OH 44839-1706
Phone
(419) 433-3937
Fax
(419) 433-0225
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric Christopher Martin, O.D.NPI 1366415929
Title
Owner
Phone
(419) 433-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4768T1572 OH Primary

Addresses

Primary practice location

421 Berlin Rd Unit B
Huron, OH 44839-1706

Mailing address

421 Berlin Rd Unit B
Huron, OH 44839-1706
Phone (419) 433-3937

Other identifiers 1

IdentifierTypeStateIssuer
0430895MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Eric Martin OD and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

421 Berlin Rd
Ste B
Huron, OH 44839
Phone (419) 433-3937

Interoperability endpoints

  • Direct secure messaging: ericmartinod@peceyes.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285841973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BERLIN RD UNIT B",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391706",
            "telephone_number": "419-433-3937",
            "fax_number": "419-433-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BERLIN RD UNIT B",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391706",
            "telephone_number": "419-433-3937",
            "fax_number": "419-433-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC MARTIN, O.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-433-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4768T1572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.