Kenneth I Marton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

KM002606 Issued in MI

Practice address

2117 E Grand River Ave
Lansing, MI 48912-3231

Phone

(517) 485-2213

Fax

(517) 485-2220

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1336130012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 E GRAND RIVER AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123231",
            "telephone_number": "517-485-2213",
            "fax_number": "517-485-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 E GRAND RIVER AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123231",
            "telephone_number": "517-485-2213",
            "fax_number": "517-485-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTON",
        "first_name": "KENNETH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "KM002606",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MI",
            "license": "KM002606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5060594",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900C36552",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarali Rivera Martinez
• Victoria Martinez
• Suzanne Rose Martini, RN, MSN, FNP-C
• Angel Martino-Horrall, MD
• April Anne Martino, PA-C
• Marvin J. Matson OD, PC
• Olivia Marvin, DO
• Mary Free Bed Orthotics and Prosthetics
• Mary Free Bed Orthotics and Prosthetics
• Mary J Brown

• Optometrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.