Individual provider Active NPI

Eric Christopher Martin, O.D.

  • Optometrist
  • Amherst, OH
National Provider Identifier
1366415929
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4768 Issued in OH
Practice address
2268 Kresge Dr
Amherst, OH 44001-1260
Phone
(440) 282-4418
Fax
(888) 342-1721
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4768 OH Primary

Addresses

Primary practice location

2268 Kresge Dr
Amherst, OH 44001-1260

Mailing address

2268 Kresge Dr
Amherst, OH 44001-1260
Phone (440) 282-4418

Other identifiers 1

IdentifierTypeStateIssuer
0430895MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120613000739 OH Practitioner - Optometry 3678737194 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2268 Kresge Dr
Amherst, OH 44001-1260
Phone (440) 282-4418

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4768OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Martin, O.D. and Associates Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Eric Martin, O.D. and Associates Optometrist PastSince Jan 1, 2004 Accepting new patients
Northern Ohio Eye Consultants Inc Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: ericmartinod@peceyes.eyefinity-direct.com
  • Direct secure messaging: ericmartinod@pec2020.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.

Organizations & group practices 3

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.

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": "1323734400000",
    "number": "1366415929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 KRESGE DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011260",
            "telephone_number": "440-282-4418",
            "fax_number": "888-342-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 KRESGE DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011260",
            "telephone_number": "440-282-4418",
            "fax_number": "888-342-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

Verify at the official NPI Registry.