Active NPI
Burke D. Martin, OD
- Optometrist
- Round Rock, TX
National Provider Identifier
1437318391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5141T
- Legal business name
- BURKE D. MARTIN, OD
- Doing business as
- Round Rock Eye Doctors
- Practice address
- 2701 S I H 35
Round Rock, TX 78664-7320 - Phone
- (512) 388-2600
- Fax
- (512) 388-0854
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynne K. Martin
- Title
- Optometrist/Bookkeeper
- Phone
- (512) 785-0624
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5141T | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 5141T | TX | |
| Vision Therapy Optometrist | 152WV0400X | 5141T | TX |
Addresses
Primary practice location
2701 S I H 35
Round Rock, TX 78664-7320
Mailing address
1308 Arronimink Cir
Austin, TX 78746-6303
Phone (512) 785-0624
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64765 | Other | TX | SAFEGUARD |
| 49292 & 47839 | Other | TX | DAVIS VISION |
| 019327801 | Medicaid | TX | |
| 020635 & 024923 | Other | TX | BLOCK VISION (CHIP AND AMERIGROUP) |
| 13860 & 35403 | Other | TX | AVESIS |
| 2600 | Other | TX | MEDICAL EYE SERVICE |
| 19973 & 26903 | Other | TX | SPECTERA |
| 550475 &545480 | Other | TX | NATIONAL VISION ADMINISTRATORS |
Other names 1
- Round Rock Eye Doctors
National Provider Directory
National Provider DirectoryLocations
2701 S Interstate 35
#D
Round Rock, TX 78664
Phone (512) 388-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1437318391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 ARRONIMINK CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466303",
"telephone_number": "512-785-0624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S I H 35",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647320",
"telephone_number": "512-388-2600",
"fax_number": "512-388-0854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKE D. MARTIN, OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "LYNNE",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OPTOMETRIST/BOOKKEEPER",
"authorized_official_telephone_number": "512-785-0624"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "5141T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "5141T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "TX",
"license": "5141T",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD",
"identifier": "64765",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "49292 & 47839",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019327801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION (CHIP AND AMERIGROUP)",
"identifier": "020635 & 024923",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "13860 & 35403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICE",
"identifier": "2600",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "19973 & 26903",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ADMINISTRATORS",
"identifier": "550475 &545480",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Round Rock Eye Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.