Individual provider Active NPI

Eliza Marguerite Whatley Martin, O.D.

  • Optometrist
  • Driggs, ID
National Provider Identifier
1376299040
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
447T Issued in WY
Practice address
180 S Main St Ste B2
Driggs, ID 83422-5034
Phone
(208) 471-8721
Fax
(208) 471-8727
NPI assigned
Feb 22, 2022
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004119 PA
Optometrist 152W00000X 4280 MT
Optometrist 152W00000X 447T WY Primary
Optometrist 152W00000X TPOP280 FL
Optometrist 152W00000X 0618003187 VA
Optometrist 152W00000X 12793207-9934 UT
Optometrist 152W00000X OD61409137 WA
Optometrist 152W00000X ODP-100599 ID

Addresses

Primary practice location

180 S Main St Ste B2
Driggs, ID 83422-5034

Mailing address

7973 Spoon Creek Dr
Victor, ID 83455-4992

Other names 1

  • Eliza Marguerite Whatley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, UT, ID, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20221020000575 VA Practitioner - Optometry 9032594882 Reassigns benefits to 1 organization
I20240423000345 PA Practitioner - Optometry 9032594882 Reassigns benefits to 4 organizations
I20240426002352 UT Practitioner - Optometry 9032594882 Reassigns benefits to 1 organization
I20240528003030 ID Practitioner - Optometry 9032594882 Reassigns benefits to 1 organization
I20240715002448 WA Practitioner - Optometry 9032594882 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPOP280FLMDOptometrist
ODP-100599IDMDOptometrist
4280MTMDOptometrist
OD61409137WAMDOptometrist
447TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Oct 21, 2025 Accepting new patients
Teton Valley Vision PC Optometrist CurrentSince May 8, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 17, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 17, 2024 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince May 4, 2024 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Driggs Eyecare, PLLC Optometrist Current Accepting new patients
Northeastern Washington Eyecare Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Visionworks, Inc CurrentSince Apr 1, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Oct 21, 2025 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 21, 2025 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Aug 16, 2024 Accepting new patients
Shoptikal LLC Optometrist PastSince Oct 27, 2019 Accepting new patients
Thomas L Simmons Optometrist Past Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis Past Accepting new patients

Locations

180 S Main St
Ste B2
Driggs, ID 83422
Phone (208) 359-4841

10 Cedron Rd
Victor, ID 83455
Phone (208) 787-3937

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

854 Plaza Blvd
Lancaster, PA 17601
Phone (717) 295-3111

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

923 Paoli Pike
West Chester, PA 19380
Phone (610) 692-8300

10317 S State St
Sandy, UT 84070
Phone (801) 572-4810

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

102 S Oak St
Colville, WA 99114
Phone (509) 684-5278

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

205 S Washington Ave
Newport, WA 99156
Phone (509) 447-2945

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1376299040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7973 SPOON CREEK DR",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834554992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S MAIN ST STE B2",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225034",
            "telephone_number": "208-471-8721",
            "fax_number": "208-471-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY MARTIN",
        "first_name": "ELIZA",
        "middle_name": "MARGUERITE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004119",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "4280",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "447T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP280",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003187",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "12793207-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61409137",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZA",
            "last_name": "WHATLEY",
            "middle_name": "MARGUERITE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Driggs, ID

Sources for this page

Verify at the official NPI Registry.