Organization Active NPI

Don P Martin OD Inc

  • Eyewear Supplier
  • Ardmore, OK
National Provider Identifier
1366582389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1053 Issued in OK
Legal business name
DON P MARTIN OD INC
Practice address
130 D Street NW
Ardmore, OK 73401-6219
Phone
(580) 223-6780
Fax
(580) 223-6966
NPI assigned
Feb 7, 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. Don P Martin, OD
Title
Owner President
Phone
(580) 223-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1053 OK Primary

Addresses

Primary practice location

130 D Street NW
Ardmore, OK 73401-6219

Mailing address

130 D Street NW
Ardmore, OK 73401-6219
Phone (580) 223-6780

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherOKSOCIAL SECURITY NUMBER
1932197720OtherOKNPI

National Provider Directory

National Provider Directory

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366582389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 D STREET NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016219",
            "telephone_number": "580-223-6780",
            "fax_number": "580-223-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 D STREET NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016219",
            "telephone_number": "580-223-6780",
            "fax_number": "580-223-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON P MARTIN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "580-223-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932197720",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

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.