Jamie Marie St. Martin, OD, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4763 Issued in FL

Practice address

4917 SW 56TH St
Ocala, FL 34474-4754

Phone

(352) 804-9095

Fax

(352) 877-3253

NPI assigned

Sep 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1396095097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 SW 56TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744754",
            "telephone_number": "352-804-9095",
            "fax_number": "352-877-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 SW 56TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744754",
            "telephone_number": "352-804-9095",
            "fax_number": "352-877-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. MARTIN",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3264-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006674000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Nazih Srinagesh, MD
• Vishwanath Srinagesh, M.D.
• Shashank Shekhar Srivastava, M.D.
• Michael St Leger, NP-C
• Destiny St. Leger, NP
• Robert F St.Pierre, RRT
• John Brent Stabler, FAMILY MEDICINE, BOA
• Emily Stack
• Jody Stacy, M.DIV.
• Jessica P Staff

• Optometrist in Ocala, FL
• Providers in Ocala, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.