Organization Active NPI

Jeffrey K Martin OD

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1366688509
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3323 Issued in OH
Legal business name
JEFFREY K MARTIN OD
Practice address
176 W Water St
Chillicothe, OH 45601-2426
Phone
(740) 773-5718
Fax
(740) 773-5719
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Jeffrey K Martin, O.D.
Title
Owner
Phone
(740) 773-5718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3323 OH Primary

Addresses

Primary practice location

176 W Water St
Chillicothe, OH 45601-2426

Mailing address

176 W Water St
Chillicothe, OH 45601-2426

National Provider Directory

National Provider Directory

Locations

176 W Water St
Chillicothe, OH 45601
Phone (614) 773-5718

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1366688509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W WATER ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W WATER ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012426",
            "telephone_number": "740-773-5718",
            "fax_number": "740-773-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K MARTIN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-773-5718",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.