Active NPI
Scott E Martin, O.D.
- Occupational Vision Optometrist
- Fort Wayne, IN
National Provider Identifier
1356350474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 18002594B
- Practice address
- 1015 E Dupont Rd
Fort Wayne, IN 46825-1553 - Phone
- (260) 416-0800
- Fax
- (260) 416-0999
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 18002594B | IN | Primary |
| Optometrist | 152W00000X | 18002594B | IN | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 18002594B | IN | |
| Corneal and Contact Management Optometrist | 152WC0802X | 18002594B | IN |
Addresses
Primary practice location
1015 E Dupont Rd
Fort Wayne, IN 46825-1553
Mailing address
1015 E Dupont Rd
Fort Wayne, IN 46825-1553
Phone (260) 416-0800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0786400001 | Other | IN | DMERC |
| 000000089436 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 E Dupont Rd
Fort Wayne, IN 46825-1553
Phone (260) 416-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002594B | IN | MD | Occupational Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Eye Consultants, PC | Optometrist | Current | Accepting new patients |
| Martin Eye Clinic, P.C. | Optometrist | Current | Accepting new patients |
| Midwest Eye Consultants, PC | Optometrist | Current | Accepting new patients |
| Midwest Eye Consultants, P.C. | Current | Accepting new patients | |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
| Midwest Eye Consultants, P.C. | Optometrist | Past | Accepting new patients |
Locations
1015 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 416-0800
301 J St
Laporte, IN 46350
Phone (219) 326-9569
301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Fort Wayne, IN
- NPI 1881757912
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1912960535
-
- Optometrist
- Fort Wayne, IN
- NPI 1174409049
-
- Optometrist
- Fort Wayne, IN
- NPI 1548132715
-
- Optometrist
- Chesterton, IN
- NPI 1023066784
-
- Optometrist
- La Porte, IN
- NPI 1265480933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1356350474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251553",
"telephone_number": "260-416-0800",
"fax_number": "260-416-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251553",
"telephone_number": "260-416-0800",
"fax_number": "260-416-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SCOTT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "IN",
"license": "18002594B",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002594B",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "IN",
"license": "18002594B",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IN",
"license": "18002594B",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0786400001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000089436",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.