Individual provider Active NPI

James Edmund Martin, L.D.O.

  • Optician
  • Bellevue, WA
National Provider Identifier
1376784405
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
10050 NE 10TH St
Ste B
Bellevue, WA 98004-4121
Phone
(425) 454-1772
Fax
(425) 454-7489
NPI assigned
Mar 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X WA Primary

Addresses

Primary practice location

10050 NE 10TH St
Ste B
Bellevue, WA 98004-4121

Mailing address

10050 NE 10TH St
Ste B
Bellevue, WA 98004-4121
Phone (425) 454-1772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1376784405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 NE 10TH ST",
            "address_2": "STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044121",
            "telephone_number": "425-454-1772",
            "fax_number": "425-454-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 NE 10TH ST",
            "address_2": "STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044121",
            "telephone_number": "425-454-1772",
            "fax_number": "425-454-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "EDMUND",
        "credential": "L.D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.